WZD-17768-95586
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 684 / NE
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QWM-76581-10158
Child or adolescent in my care · Female · 2021-12-08
LL8-93323-49775
Child or adolescent in my care · Female · 2021-12-30
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Pfizer-BioNTech
- 2020-12-31
- 2021-01-01
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-09
- 2021-01-14
-
2021-01-21
Dose 2 — Pfizer-BioNTech
-
2021-01-21
Survey response — day 0, dose 2MedDRA: Chest discomfort, Dyspnoea, Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: Racing heart, shortness of breath, chest pressure like a balloon going to popMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Heart racingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-13
- 2021-02-19
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2022-01-21
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Fatigue, Headache — 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 · Telehealth, virtual health, or email health consultationFree text: Headache, shortness of breath, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Pfizer-BioNTech | |
| 2 | 2021-01-21 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-21 | Successful 2022-01-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): Racing heart, shortness of breath, chest pressure like a balloon going to pop
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Heart racing
Release 11 — 12 months, dose 2
Symptoms: Headache, shortness of breath, fatigue
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 | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release