A2W-24556-70254
1 vaccination
5 coded responses
6 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 770 / TX
- Registered
- 2021-08-27
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-24
Dose 1 — Pfizer-BioNTech
-
2021-08-27
Registered in v-safe
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2021-08-27
Survey response — days 1–6 daily, dose 1MedDRA: Axillary mass, Contusion, Ear discomfort, Lymphadenopathy, Oropharyngeal pain, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Swollen lyph nodes, sore throat, ringing and clogging feeling in ear on side with shot, knot size of baseball under armpit side of injection, brusing with out knownMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-28
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure increased, Ear pain, Heart rate increased, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ear pain, rapid heart rate above norm blood pressure , chest congestionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-08-30
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Blood pressure increased, Neurological symptom, Panic reaction — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Elevated blood pressure, panic anxiety, stroke symptoms returnedMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Survey response — day 7, dose 1MedDRA: Brain fog, Chest pain, Deafness, Dyspnoea, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Chest pain, shortness of breath, hearing loss , rining ears, brain fog,MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-14
Survey response — day 21, dose 1MedDRA: Abortion spontaneous, Anxiety, Depression, Fatigue, Muscle spasms — Feeling: Poor · 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: Anxious, anxiety, fatigue, depression, muscle cramps ,miscarried was 25 weeks gestationMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-09-16
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-14 | Successful 2021-09-16 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lyph nodes, sore throat, ringing and clogging feeling in ear on side with shot, knot size of baseball under armpit side of injection, brusing with out known
Systemic reaction (other): Ear pain, rapid heart rate above norm blood pressure , chest congestion
Systemic reaction (other): Elevated blood pressure, panic anxiety, stroke symptoms returned
Release 9 — day 7, dose 1
Systemic reaction (other): Chest pain, shortness of breath, hearing loss , rining ears, brain fog,
Release 9 — day 21, dose 1
Symptoms: Anxious, anxiety, fatigue, depression, muscle cramps ,miscarried was 25 weeks gestation
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 | Abortion spontaneous | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SRO | Anxiety | ✓ | · | ✓ |
| SRO | Axillary mass | ✓ | · | ✓ |
| SRO | Blood pressure increased | ✓ | · | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Chest pain | ✓ | · | ✓ |
| SRO | Contusion | ✓ | · | ✓ |
| SRO | Deafness | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | · | ✓ |
| SRO | Ear discomfort | ✓ | · | ✓ |
| SRO | Ear pain | ✓ | · | ✓ |
| SRO | Heart rate increased | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Neurological symptom | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Panic reaction | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Tinnitus | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release