57Q-31729-94453
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 840 / UT
- Registered
- 2021-07-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TY7-10590-62455
Child or adolescent in my care · Female · 2021-07-23
Timeline
-
2021-07-23
Registered in v-safe
-
2021-07-23
Dose 1 — Pfizer-BioNTech
- 2021-07-23
- 2021-07-24
- 2021-07-25
- 2021-07-26
- 2021-07-28
- 2021-07-29
- 2021-07-30
- 2021-08-08
-
2021-08-14
Dose 2 — Pfizer-BioNTech
- 2021-08-14
- 2021-08-16
-
2021-08-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-08-18
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Dizziness, Dyspnoea, Feeling hot, Hypertension, Pain in extremity, Palpitations, Poor peripheral circulation, Tremor — Feeling: Poor · Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · 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: Body is really hot. Whole body is shakey, high blood pressure, racing heart, dizziness and lightheaded, chest tightness with what feels like I am not breathing how I should, left lower arm and hand feels achy and almost like I don't have good circ.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-18
Report sent to call center — days 1–6 daily, 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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2021-08-19
Survey response — days 1–6 daily, dose 2MedDRA: Office visit — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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: Yes, same information that I put on Yesterday's report. But wanted to add that it as happened twice now. Had to have a EKG, blood work. Have seen a provider now twice because of this health issues that started after my 1st and now 2nd dose.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — days 1–6 daily, 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)
-
2021-08-21
Survey response — day 7, dose 2MedDRA: Chest discomfort, Immunisation reaction, Rash — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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: Still tightness of the chest. Rash has spread even more, which my doctor said is a reaction to the vaccine so I am also on meds for that. Been referred for a work up with a Cardiologist.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-24
Call successfulCompleted over the phone
- 2021-09-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-23 | Pfizer-BioNTech | No |
| 2 | 2021-08-14 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Body is really hot. Whole body is shakey, high blood pressure, racing heart, dizziness and lightheaded, chest tightness with what feels like I am not breathing how I should, left lower arm and hand feels achy and almost like I don't have good circ. cut off by CDC
Systemic reaction (other): Yes, same information that I put on Yesterday's report. But wanted to add that it as happened twice now. Had to have a EKG, blood work. Have seen a provider now twice because of this health issues that started after my 1st and now 2nd dose.
Release 9 — day 7, dose 2
Systemic reaction (other): Still tightness of the chest. Rash has spread even more, which my doctor said is a reaction to the vaccine so I am also on meds for that. Been referred for a work up with a Cardiologist.
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 |
|---|---|---|---|---|
| SRO | Chest discomfort | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | · | ✓ |
| SRO | Feeling hot | ✓ | · | ✓ |
| SRO | Hypertension | ✓ | · | ✓ |
| SRO | Immunisation reaction | ✓ | · | ✓ |
| SRO | Office visit | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Palpitations | ✓ | · | ✓ |
| SRO | Poor peripheral circulation | ✓ | · | ✓ |
| SRO | Rash | ✓ | · | ✓ |
| SRO | Tremor | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release