5KT-28868-17886
2 vaccinations
8 coded responses
10 check-ins
8 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 010 / MA
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- N/A
Timeline
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2021-03-20
Dose 1 — Pfizer-BioNTech
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2021-04-18
Registered in v-safe
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2021-04-18
Dose 2 — Pfizer-BioNTech
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Nausea, Seizure, Vomiting — Feeling: Fair · Site: Redness, Swelling · Fever · Fatigue or tiredness, Nausea, Abdominal painFree text: Seizure the day of injection, vomiting early wee hours next day. Nausea and headache yesterday and tody.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-05-04
Survey response — day 14, dose 2MedDRA: Abdominal pain, Nausea, Office visit, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Persistent nausea and vomiting. Severe abonimal pain. · Healthcare visit (other): Saw my PCP and my VNA Nurse. Did not want to spend hours in the ER while feeling misable waiting to be seen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-09
Survey response — day 21, dose 2MedDRA: Fatigue, Nausea, Taste disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still dealing with the persistent nausea and fatigue, and taste buds seem to be off for some foods.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-16
Survey response — day 28, dose 2MedDRA: Ageusia, Chromaturia, Fatigue, Nausea, Unevaluable event — Feeling: Fair · 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: Symptoms: Nausea, urine is dark yellow, fatigue and sense of taste is still off. · Healthcare visit (other): Pcp ordered another urinalysisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-23
Survey response — day 35, dose 2MedDRA: Dehydration, Fatigue, Medical counselling, Nervousness, Specialist consultation, Tremor — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Exhaustion, shaky · Healthcare visit (other): PCP told me to go. Turns out was dehydrated from my previous symptoms that I reported.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-30
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2021-07-19
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Chest pain, Diarrhoea, Pruritus, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Itchy on my upper chest, back and arms. Stomach cramps, diarrhea, vomiting and sparatic chest pains.MedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
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2021-10-17
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Fatigue, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breayh, fatigue, muscle aches, headaches.MedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Survey response — 12 months, dose 2MedDRA: Costochondritis, Facial pain, Headache, Impaired gastric emptying, Pre-existing disease, Seizure, Sinusitis — Feeling: Fair · 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 visit, HospitalizationFree text: Persistent sinusitis, gastroparesis, costroconditis, facial pain, daily headaches and more frequent seziures.MedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-04-19
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | |
| 2 | 2021-04-18 | Pfizer-BioNTech |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 6
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Seizure the day of injection, vomiting early wee hours next day. Nausea and headache yesterday and tody.
Release 8 — day 14, dose 2
Symptoms: Persistent nausea and vomiting. Severe abonimal pain.
Healthcare visit (other): Saw my PCP and my VNA Nurse. Did not want to spend hours in the ER while feeling misable waiting to be seen.
Release 8 — day 21, dose 2
Symptoms: Still dealing with the persistent nausea and fatigue, and taste buds seem to be off for some foods.
Release 8 — day 28, dose 2
Symptoms: Nausea, urine is dark yellow, fatigue and sense of taste is still off.
Healthcare visit (other): Pcp ordered another urinalysis
Release 8 — day 35, dose 2
Symptoms: Exhaustion, shaky
Healthcare visit (other): PCP told me to go. Turns out was dehydrated from my previous symptoms that I reported.
Release 9 — 3 months, dose 2
Symptoms: Itchy on my upper chest, back and arms. Stomach cramps, diarrhea, vomiting and sparatic chest pains.
Release 10 — 6 months, dose 2
Symptoms: Shortness of breayh, fatigue, muscle aches, headaches.
Release 11 — 12 months, dose 2
Symptoms: Persistent sinusitis, gastroparesis, costroconditis, facial pain, daily headaches and more frequent seziures.
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 | Dehydration | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chromaturia | ✓ | ✓ | ✓ |
| SD | Costochondritis | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Facial pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired gastric emptying | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nervousness | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Seizure | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Taste disorder | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ○ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release