4RU-30122-92944
2 vaccinations
12 coded responses
15 check-ins
12 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 762 / TX
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-20
Dose 1 — Pfizer-BioNTech
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2021-04-21
Registered in v-safe
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Heart rate decreased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shortness of breath, decreased heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Heart rate decreased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breath and low heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 7, dose 1MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
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2021-05-11
Dose 2 — Pfizer-BioNTech
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2021-05-18
Survey response — day 7, dose 2MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
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2021-06-01
Survey response — day 21, dose 2MedDRA: Dyspnoea, Office visit, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Low heart rate. Shortness of breath. Body aches · Healthcare visit (other): In office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-08
Survey response — day 28, dose 2MedDRA: Chills, Cough, Diarrhoea, Migraine, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion in nose and chest, cough, chills, migraine, nausea, diarrhea, and feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-15
Survey response — day 35, dose 2MedDRA: Ageusia, Anosmia, Chills, Constipation, Dyspnoea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Vision blurred — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fever, chills, sore throat, congestion, shortness of breath, blurry vision, no sense of smell or taste, constipation, body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Report sent to call center — day 35, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-06-21
Call successfulParticipant prefers to complete VAERS report online
- 2021-06-22
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2022-05-13
Survey response — 12 months, dose 2MedDRA: Amnesia, Cardiac pacemaker insertion, Heart rate decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart rate very slow which is requiring me to have get a pacemaker. Memory lossMedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-16
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Pfizer-BioNTech | |
| 2 | 2021-05-11 | Pfizer-BioNTech |
Call center
4 call center cases
4 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath
Systemic reaction (other): Shortness of breath, decreased heart rate
Systemic reaction (other): Shortness of breath and low heart rate
Systemic reaction (other): Shortness of breath
Systemic reaction (other): Shortness of breath
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath
Release 8 — day 7, dose 1
Systemic reaction (other): Shortness of breath
Release 8 — day 7, dose 2
Systemic reaction (other): Shortness of breath
Release 8 — day 21, dose 2
Symptoms: Low heart rate. Shortness of breath. Body aches
Healthcare visit (other): In office visit
Release 8 — day 28, dose 2
Symptoms: Congestion in nose and chest, cough, chills, migraine, nausea, diarrhea, and fever
Release 9 — day 35, dose 2
Symptoms: Fever, chills, sore throat, congestion, shortness of breath, blurry vision, no sense of smell or taste, constipation, body aches
Release 11 — 12 months, dose 2
Symptoms: Heart rate very slow which is requiring me to have get a pacemaker. Memory loss
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Amnesia | · | · | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Cardiac pacemaker insertion | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release