68N-20602-18654
2 vaccinations
6 coded responses
6 check-ins
6 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 333 / FL
- Registered
- 2021-07-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-07
Dose 1 — Pfizer-BioNTech
-
2021-06-28
Dose 2 — Pfizer-BioNTech
-
2021-07-05
Registered in v-safe
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2021-07-05
Survey response — day 7, dose 2MedDRA: Dizziness, Dyspnoea, Pharyngeal swelling, Pruritus, Swollen tongue, Throat irritation, Tonsillar hypertrophy — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, 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 · Emergency room or emergency department visit, HospitalizationFree text: Difficulty breathing with and without exertion. Swelling and itching in throat and tongue. Dizziness, burning throat, swollen tonsilsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Report sent to call center — day 7, 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)
- 2021-07-08
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2021-07-12
Survey response — day 14, dose 2MedDRA: Anaphylactic reaction, Asthenia, Dizziness, Dust allergy, Dyspnoea, Headache, Hypoaesthesia, Pharyngeal swelling, Pre-existing disease, Vision blurred, Vomiting — 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 · Emergency room or emergency department visit, HospitalizationFree text: Extreme anaphylaxic sensitivity to foods, dust, medications, with shortness of breath, dizziness, vomiting. Blurred visions, extreme weakness, headache, swelling in throat. As of today numbness in various body parts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-12
Report sent to call center — day 14, 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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2021-07-20
Survey response — day 21, dose 2MedDRA: Anaphylactic reaction, Asthenia, Dehydration, Dizziness, Headache, Pharyngeal swelling, Vision blurred, Vomiting — 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 · Emergency room or emergency department visit, HospitalizationFree text: Anaphylactic response to all foods eaten with vomiting.throat swelling, Dehydration, dizzy, severe headaches, extreme weakness with and without exertion, blurred vision.,MedDRA releases: 2024-11 · check-in free text available
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2021-07-20
Report sent to call center — day 21, 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)
- 2021-07-21
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2021-07-26
Survey response — day 28, dose 2MedDRA: Dyspnoea, Eating disorder, Emergency care, Fatigue, Food allergy, Gait disturbance, Headache, Hospitalisation, Migraine, Paraesthesia, Sitting disability, Visual impairment, Vomiting — 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: Symptoms: Difficulty walking, sitting, eating without exaustion, shortness of breath, extreme fatigue. Difficulty seeing, increased. Headaches and migraines. Tingling and needles in fingers and toes. Continued vomiting and various allergic reactions to foods, · Healthcare visit (other): Referred to specialist after emergency and HospitalizationsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Report sent to call center — day 28, 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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2021-08-03
Survey response — day 35, dose 2MedDRA: Chest pain, Constipation, Dysarthria, Dysphemia, Dyspnoea, Headache, Speech disorder, Urine output decreased, 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 · Emergency room or emergency department visit, HospitalizationFree text: headaches, blurred vision worsened, studdering, slurred speach, unable to verbalize words, shortness of breath, chest pain, decreased urination, severe constipation.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-03
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)
- 2021-08-03
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2022-01-19
Call successfulOther
- 2022-06-26
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2022-06-28
Survey response — 12 months, dose 2MedDRA: Abdominal pain, Disability, Hospitalisation, Hypersensitivity, Photophobia, Reaction to preservatives, Seizure, Transient ischaemic attack, Vomiting — 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 · Emergency room or emergency department visit, HospitalizationFree text: Hosp. Adm. 6/11/22 for a TIA had a severe allergic reaction to flaxseed oil with ascorbic citrate acid and other preservatives. increased sensitivity to sunlight, computer light ect. Vomiting, convulsions, adominal pain ect. Disability as of 6/17/22.MedDRA releases: 2024-11 · check-in free text available
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2022-06-28
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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-06-29
- 2022-06-29
- 2022-06-29
- 2022-06-29
- 2022-06-29
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2022-06-29
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-07 | Pfizer-BioNTech | No |
| 2 | 2021-06-28 | Pfizer-BioNTech | No |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 4
2 waits over 3 months for a first call
Free text
Release 9 — day 7, dose 2
Systemic reaction (other): Difficulty breathing with and without exertion. Swelling and itching in throat and tongue. Dizziness, burning throat, swollen tonsils
Release 9 — day 14, dose 2
Symptoms: Extreme anaphylaxic sensitivity to foods, dust, medications, with shortness of breath, dizziness, vomiting. Blurred visions, extreme weakness, headache, swelling in throat. As of today numbness in various body parts.
Release 9 — day 21, dose 2
Symptoms: Anaphylactic response to all foods eaten with vomiting.throat swelling, Dehydration, dizzy, severe headaches, extreme weakness with and without exertion, blurred vision.,
Release 9 — day 28, dose 2
Symptoms: Difficulty walking, sitting, eating without exaustion, shortness of breath, extreme fatigue. Difficulty seeing, increased. Headaches and migraines. Tingling and needles in fingers and toes. Continued vomiting and various allergic reactions to foods, cut off by CDC
Healthcare visit (other): Referred to specialist after emergency and Hospitalizations
Release 9 — day 35, dose 2
Symptoms: headaches, blurred vision worsened, studdering, slurred speach, unable to verbalize words, shortness of breath, chest pain, decreased urination, severe constipation.
Release 12 — 12 months, dose 2
Symptoms: Hosp. Adm. 6/11/22 for a TIA had a severe allergic reaction to flaxseed oil with ascorbic citrate acid and other preservatives. increased sensitivity to sunlight, computer light ect. Vomiting, convulsions, adominal pain ect. Disability as of 6/17/22. cut off by CDC
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 | Emergency care | ✓ | · | ✓ |
| HCVO | Hospitalisation | ✓ | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Anaphylactic reaction | ○ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Constipation | ✓ | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Disability | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dust allergy | ○ | ✓ | ○ |
| SD | Dysarthria | ✓ | · | ✓ |
| SD | Dysphemia | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Eating disorder | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Food allergy | ✓ | · | ✓ |
| SD | Gait disturbance | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SD | Photophobia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Reaction to preservatives | · | · | ✓ |
| SD | Seizure | · | · | ✓ |
| SD | Sitting disability | ✓ | · | ✓ |
| SD | Speech disorder | ✓ | · | ✓ |
| SD | Transient ischaemic attack | · | · | ✓ |
| SD | Urine output decreased | ✓ | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tonsillar hypertrophy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release