548-27588-24030
1 vaccination
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 385 / TN
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
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2021-01-02
Dose 1 — Pfizer-BioNTech
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2021-01-02
Survey response — day 0, dose 1MedDRA: Anxiety, Hypoaesthesia oral, Panic attack — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: High anxiety, panic attack after injection, numbness in tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-01-09
Survey response — day 7, dose 1MedDRA: Panic attack — Feeling: Poor · Headache, Fatigue or tiredness, NauseaFree text: Panic AttacksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — day 14, dose 1MedDRA: Panic attack, Tachycardia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Tachycardia/ Severe Panic episodes 1/8 + 1/9. Currently on CAM Heart Monitor and had echocardiogram completed 1/15MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-23
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-03-15
- 2021-03-22
- 2021-03-24
- 2021-04-03
- 2021-07-03
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2022-01-02
Survey response — 12 months, dose 1MedDRA: Acute stress disorder, Autonomic nervous system imbalance, Brain fog, Dyspnoea, Headache, Insomnia, Neuropathy peripheral, Office visit, Paraesthesia, Postural orthostatic tachycardia syndrome, Tachycardia, Weight fluctuation — Feeling: Fair · 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Ongoing Post Vaccination Symptoms- POTS/ Dysautonomia, insomnia, adrenaline dumps, weight fluctuations, brain fog, tingles, tachycardia (150-180 resting hr at times), headaches, shortness of breath intermittent, neuropathy · Healthcare visit (other): EKG x2, Echocardiogram, 1 week Heart Monitor, Immunologist appointment , currently waiting for appointment with Dysautonomia specialist at (b)(6)MedDRA releases: 2024-11 · check-in free text available
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2022-01-02
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-01-05
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): High anxiety, panic attack after injection, numbness in tongue
Release 1 — day 7, dose 1
Systemic reaction (other): Panic Attacks
Release 2 — day 14, dose 1
Symptoms: Tachycardia/ Severe Panic episodes 1/8 + 1/9. Currently on CAM Heart Monitor and had echocardiogram completed 1/15
Release 10 — 12 months, dose 1
Symptoms: Ongoing Post Vaccination Symptoms- POTS/ Dysautonomia, insomnia, adrenaline dumps, weight fluctuations, brain fog, tingles, tachycardia (150-180 resting hr at times), headaches, shortness of breath intermittent, neuropathy
Healthcare visit (other): EKG x2, Echocardiogram, 1 week Heart Monitor, Immunologist appointment , currently waiting for appointment with Dysautonomia specialist at (b)(6)
redacted (b)(6)
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 | Acute stress disorder | · | · | ✓ |
| SD | Autonomic nervous system imbalance | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Panic attack | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Postural orthostatic tachycardia syndrome | · | · | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SD | Weight fluctuation | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Panic attack | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release