6YF-21257-01146
1 vaccination
6 coded responses
13 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-03-31
Survey response — day 0, dose 1MedDRA: Eye pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Mild behind the eye headache that lasted a small amount of time, 20 minsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-05
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Lymph node pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Had injection in leg but pain in rt chest/lymph areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-21
Survey response — day 21, dose 1MedDRA: Chest pain, Dyspnoea, Medical counselling, Pain in jaw — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 4 days after I got the 1st vax, I had intense chest pain (right side) thats goes up to my chin and jaw and worsens with deep breath. Still comes and goes. cardiologist suggested might be vax related. I had vax in my left legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
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2021-05-17
Survey response — day 42, dose 1MedDRA: Pain — Feeling: FairFree text: Rt breast has been hurting since vaccine but thought it was hormone related. Now they arent sure if its related to vaccine or notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
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2021-09-29
Survey response — 6 months, dose 1MedDRA: Atrial fibrillation, Chest pain, Heart rate abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Continued Afib, abnormal heart rhythms and on and off chest pain, all started after first dose. All confirmed by my cardiologist. · Healthcare visit (other): Cardiologist work upMedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-01
- 2021-10-04
-
2021-10-07
Call successfulParticipant prefers to complete VAERS report online
-
2022-04-01
Survey response — 12 months, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Random dizzinessMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Mild behind the eye headache that lasted a small amount of time, 20 mins
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Had injection in leg but pain in rt chest/lymph area
Release 7 — day 21, dose 1
Symptoms: 4 days after I got the 1st vax, I had intense chest pain (right side) thats goes up to my chin and jaw and worsens with deep breath. Still comes and goes. cardiologist suggested might be vax related. I had vax in my left leg
Release 8 — day 42, dose 1
Symptoms: Rt breast has been hurting since vaccine but thought it was hormone related. Now they arent sure if its related to vaccine or not
Release 9 — 6 months, dose 1
Symptoms: Continued Afib, abnormal heart rhythms and on and off chest pain, all started after first dose. All confirmed by my cardiologist.
Healthcare visit (other): Cardiologist work up
Release 11 — 12 months, dose 1
Symptoms: Random dizziness
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 | Office visit | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release