6JE-43137-45828
1 vaccination
4 coded responses
16 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 277 / NC
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Pfizer-BioNTech
- 2021-04-02
- 2021-04-03
- 2021-04-04
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Ear pain, Hypertension, Neck pain, Pain in jaw, Urticaria — Feeling: Poor · Chills, Muscle or body aches · Be unable to work, 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: Sudden onset of Hives, heavy weight on chest, pain between shoulder blades, high blood pressure, pain in right side of neck into jaw and earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-06
- 2021-04-07
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Chest discomfort, Musculoskeletal pain, Throat tightness — Feeling: Fair · Headache, Nausea · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain between shoulder blades, anxiety, chest tightness, minor throat constrictionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-04-16
Survey response — day 14, dose 1MedDRA: Anxiety, Headache, Muscle spasms — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe headache x1 day; anxiety x3 days; nighttime cramps involving calves and feet x3 nightsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
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2021-10-01
Survey response — 6 months, dose 1MedDRA: Blood pressure increased, Chills, Dry mouth, Musculoskeletal pain, Nausea, Neck pain, Pain in jaw, Throat tightness, Tremor, Urticaria — Feeling: Good · 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: I will not take 2nd shot. After 1st I had 2 days nausea followed by sudden onset of: hives, interscapular pain, pain in neck&jaw, throat constriction, dry mouth, high BP (162/109), chills & shaky hands. 2nd wave of same 3 days later. CT scan: No PE.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-04
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sudden onset of Hives, heavy weight on chest, pain between shoulder blades, high blood pressure, pain in right side of neck into jaw and ear
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pain between shoulder blades, anxiety, chest tightness, minor throat constriction
Release 7 — day 14, dose 1
Symptoms: Severe headache x1 day; anxiety x3 days; nighttime cramps involving calves and feet x3 nights
Release 9 — 6 months, dose 1
Symptoms: I will not take 2nd shot. After 1st I had 2 days nausea followed by sudden onset of: hives, interscapular pain, pain in neck&jaw, throat constriction, dry mouth, high BP (162/109), chills & shaky hands. 2nd wave of same 3 days later. CT scan: No PE. 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 |
|---|---|---|---|---|
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Throat tightness | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release