U7S-19554-93682
4 vaccinations
13 coded responses
50 check-ins
13 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 786 / TX
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2020-12-23
Registered in v-safe
-
2020-12-24
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Neck pain, Office visit, Pain in jaw, Palpitations, Paraesthesia, Toothache — Feeling: Good · Site: Pain · Headache, Joint pains · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2020-12-24
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2020-12-25
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure increased, Heart rate increased, Toothache — Feeling: Good · Headache, Joint pains, Muscle or body aches, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-06
- 2021-01-08
-
2021-01-08
Call successfulCompleted over the phone
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Pain in jaw — Feeling: Good · Site: Pain, Redness, Swelling · Joint painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-08
Survey response — 28 day, dose 2MedDRA: Back pain, Dyspnoea, Pain in jaw, Panic reaction — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-15
- 2021-02-22
- 2021-04-12
- 2021-07-12
-
2021-10-03
Dose 3 — Pfizer-BioNTech
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort, Hot flush, Hyperhidrosis, Toothache — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2024-11 · check-in answers available
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2024-11 · check-in answers available
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
- 2021-10-08
- 2021-10-09
- 2021-10-10
-
2021-10-17
Survey response — 14 day, dose 3MedDRA: Endometrial hyperplasia, Ovarian cyst, Postmenopause, Unevaluable event — Feeling: Good · 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 visit, HospitalizationMedDRA releases: 2024-11 · check-in answers available
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2021-10-17
Report sent to call center — 14 day, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
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2021-10-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-24
- 2021-10-31
- 2021-11-07
- 2021-11-16
- 2022-01-02
- 2022-04-03
-
2022-04-16
Dose 4 — Moderna
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2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingMedDRA releases: 2024-11 · check-in answers available
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Pain — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-07-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-10-03 | Pfizer-BioNTech | No |
| 4 | 2022-04-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-24 | Successful 2021-01-08 |
Completed over the phone |
| 2021-01-12 | priority 2/3 | |
| 2021-01-15 | priority 2/3 | |
| 2021-10-17 | Successful 2021-10-19 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1
Systemic reaction (other): Symptoms were not today but yesterday and within 1.5 hrs of vaccine. Neck pain, jaw pain, teeth pain, face tingling, SOB, heart racing. Visited PCP to r/o heart issues, negative so far: EKG AND labs. Stress test next week
Systemic reaction (other): Along with the above only at at one time today;Teeth slight pain during BP raised suddenly with heart rate up-high 90's low 100'a for 5 minutes. Comes on fast, gets to a high point, then goes away.
Systemic reaction (other): Jaw pressure
Systemic reaction (other): Left under arm lymph node swelling
Release 2
Systemic reaction (other): Mild jaw pain, Coughing
Release 3
Symptoms: One episode similar to last time. Left jaw hurting, back hurting, SOB, panic feeling ... all of a sudden and then slowly resolved after about three minutes. Only once and no other issues.
Release 10
Systemic reaction (other): Fleeting Teeth pain, LL abdominal fluttering, hot flash/sweating
Systemic reaction (other): Neck pain
Systemic reaction (other): Lymph node swelling/pain under left arm
Systemic reaction (other): Lymph nodes under left arm still little sore in morning 1/2 day then better.
Symptoms: Ovarian cysts and thickened uterus lining post menopause. Will be having surgery on Friday, 10/22, r/t every few years post menopause issues with removal or tubes and ovaries along with hysteroscopy with scraping for D&C to test thick lining.
Healthcare visit (other): Outpatient surgery scheduled for 10/22
Release 11
Systemic reaction (other): Swelling is underarm area/lymph nodes
Systemic reaction (other): Less swelling under right arm at lymph nodes, some pain
Free-text releases are not linked to a specific 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 | Unevaluable event | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Endometrial hyperplasia | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Panic reaction | ✓ | ✓ | ✓ |
| SD | Postmenopause | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Electrocardiogram | ○ | ○ | ○ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Laboratory test | ○ | ○ | ○ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Specialist consultation | ○ | ○ | ○ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release