XPU-20089-63821
1 vaccination
4 coded responses
13 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 197 / DE
- Registered
- 2021-08-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-24
Registered in v-safe
-
2021-08-24
Dose 1 — Pfizer-BioNTech
- 2021-08-24
-
2021-08-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-08-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-08-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-30
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: high blood pressureMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-30
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-31
Survey response — day 7, dose 1MedDRA: Chest discomfort — Feeling: Fair · Muscle or body achesFree text: heart feels heavyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-02
- 2021-09-07
- 2021-09-08
- 2021-09-17
-
2021-09-28
Survey response — day 35, dose 1MedDRA: Hypertension, Premature delivery — 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 · Emergency room or emergency department visit, HospitalizationFree text: had baby at 36 weeks and highblood pressureMedDRA releases: 2024-11 · check-in free text available
-
2021-09-28
Report sent to call center — day 35, dose 1Be 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 · Hospitalization · 1 call case(s)
- 2021-09-29
- 2021-11-25
- 2022-02-22
-
2022-08-27
Survey response — 12 months, dose 1MedDRA: Amnesia, COVID-19, Drug hypersensitivity, Fatigue, Joint stiffness, Malaise, Menstruation irregular, Surgery, Tonsillar hypertrophy, Tonsillectomy — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Developed a penicillin allergy about a month after vaccine. Short term memory loss, physical fatigue, joint stiffness, longer 36 day period cycle. Had one tonsil enlarged and removed. Covid infection 8 weeks ago w/ syptoms · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-08-27
Report sent to call center — 12 months, dose 1Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-29
- 2022-08-29
- 2022-08-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-30 | Unsuccessful | |
| 2021-09-28 | Unsuccessful | |
| 2022-08-27 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): high blood pressure
Release 9 — day 7, dose 1
Systemic reaction (other): heart feels heavy
Release 9 — day 35, dose 1
Symptoms: had baby at 36 weeks and highblood pressure
Release 12 — 12 months, dose 1
Symptoms: Developed a penicillin allergy about a month after vaccine. Short term memory loss, physical fatigue, joint stiffness, longer 36 day period cycle. Had one tonsil enlarged and removed. Covid infection 8 weeks ago w/ syptoms
Healthcare visit (other): Surgery
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 | Surgery | · | · | ✓ |
| SD | Amnesia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Drug hypersensitivity | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
| SD | Tonsillar hypertrophy | · | · | ✓ |
| SD | Tonsillectomy | · | · | ✓ |
| SRO | Chest discomfort | ✓ | · | ✓ |
| SRO | Hypertension | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release