5P9-30100-76777
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 481 / MI
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-23
- 2020-12-25
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
-
2021-01-13
Dose 2 — Pfizer-BioNTech
-
2021-01-16
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Blood pressure increased, Chest discomfort — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Vaccine received on 1/13 9 am, on 1/14 8 pm felt chest tightness and uneasy. Check my BP and it was elevated over 160/98, went to ED. BP increased to 180/98. Treated with morphine and aspirin. After 6 hours, chest tightness resolved and BP down to 161/90MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: My blood pressure has been back to normal for 24 hours post my elevated level on Thursday evening. No other issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-21
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 35, dose 2MedDRA: Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: On Tuesday, February 16 had a headache of a 6/10 severity score. I took ibuprofen and it resolved within 4 hours. No identifiable reason for the headache but not thinking it was vaccine related eitherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-16
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-04-14
- 2021-07-14
- 2022-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Vaccine received on 1/13 9 am, on 1/14 8 pm felt chest tightness and uneasy. Check my BP and it was elevated over 160/98, went to ED. BP increased to 180/98. Treated with morphine and aspirin. After 6 hours, chest tightness resolved and BP down to 161/90
Systemic reaction (other): My blood pressure has been back to normal for 24 hours post my elevated level on Thursday evening. No other issues.
Release 4 — day 35, dose 2
Symptoms: On Tuesday, February 16 had a headache of a 6/10 severity score. I took ibuprofen and it resolved within 4 hours. No identifiable reason for the headache but not thinking it was vaccine related either
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 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release