CAQ-42574-11671
4 vaccinations
8 coded responses
17 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-12-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-03-19
Dose 2 — Pfizer-BioNTech
-
2021-12-02
Registered in v-safe
-
2021-12-02
Dose 3 — Pfizer-BioNTech
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Abdominal painAdult check-in
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Cardiac discomfort, Gastrointestinal pain, Pain, Renal pain — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: A strange feeling of pin like stabbing in my kidneys or intestines that comes and goes. A feeling of pressure around my heart that comes and goes.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
- 2021-12-06
- 2021-12-07
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations — Feeling: FairFree text: Heart palpitationsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
-
2021-12-16
Survey response — day 14, dose 3MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — day 21, dose 3MedDRA: Headache, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe stabbing shooting pain in the back right side of my heady hat lasted for 5 days.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-08
- 2022-01-13
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2022-03-03
Survey response — 3 months, dose 3MedDRA: Angina pectoris, Chills, Heart rate increased, Oropharyngeal pain, Rash — Feeling: Fair · 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 visitFree text: Pinching in my heart, high heart rate, rash covering body, sore throat, chills.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-03
Report sent to call center — 3 months, dose 3Be 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 · 1 call case(s)
- 2022-03-07
-
2022-09-13
Dose 4 — Pfizer-BioNTech
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2022-10-12
Survey response — day 28, dose 4MedDRA: Flushing, Injection site pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain in arm where booster was administered, headache, joint pain, fatigue, that all started one day after vaccine, and last for 2-3 days. Shortly after I began experiencing flushing which has continued to occur daily.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
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2022-10-25
Survey response — day 42, dose 4MedDRA: Dyspnoea, Fatigue, Hyperhidrosis, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Itching, sweating, and feeling winded/tiredMedDRA releases: 2024-11 · check-in free text available
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2023-03-16
Survey response — 6 months, dose 4MedDRA: Abortion spontaneous, Blepharospasm — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | No |
| 2 | 2021-03-19 | Pfizer-BioNTech | No |
| 3 | 2021-12-02 | Pfizer-BioNTech | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-03 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): A strange feeling of pin like stabbing in my kidneys or intestines that comes and goes. A feeling of pressure around my heart that comes and goes.
Systemic reaction (other): Heart palpitations
Release 10 — day 14, dose 3
Symptoms: Severe headache
Release 10 — day 21, dose 3
Symptoms: Severe stabbing shooting pain in the back right side of my heady hat lasted for 5 days.
Release 11 — 3 months, dose 3
Symptoms: Pinching in my heart, high heart rate, rash covering body, sore throat, chills.
Release 12 — day 28, dose 4
Symptoms: Pain in arm where booster was administered, headache, joint pain, fatigue, that all started one day after vaccine, and last for 2-3 days. Shortly after I began experiencing flushing which has continued to occur daily.
Release 12 — day 42, dose 4
Symptoms: Itching, sweating, and feeling winded/tired
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 | Angina pectoris | · | · | ✓ |
| SD | Blepharospasm | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flushing | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Cardiac discomfort | · | · | ✓ |
| SRO | Gastrointestinal pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Renal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release