XY5-34741-16908
3 vaccinations
9 coded responses
38 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 380 / TN
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-03-30
Registered in v-safe
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Palpitations, Panic attack, Panic reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-03
- 2021-07-21
- 2021-10-20
-
2021-12-23
Dose 3 — Pfizer-BioNTech
-
2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral coldness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-12-26
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-12-27
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral, Pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-12-28
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-12-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-02-03
-
2022-03-24
Survey response — 3 month, dose 3MedDRA: Blood urine present, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-03-24
Report sent to call center — 3 month, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-29
-
2022-04-01
Call successfulParticipant prefers to complete VAERS report online
- 2022-06-25
-
2022-12-23
Survey response — 12 month, dose 3MedDRA: COVID-19, Office visit, Vertigo — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-12-23
Report sent to call center — 12 month, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-12-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-24 | Successful 2022-04-01 |
Participant prefers to complete VAERS report online |
| 2022-12-23 | Unsuccessful |
Free text
Release 7
Systemic reaction (other): Panic - felt like i couldn't breathe but i could, was not palpitations think it was some sort of panic attack.
Release 10
Systemic reaction (other): Cold hands and feet and its warm out.
Systemic reaction (other): Pain in or near armpit of shot arm.
Systemic reaction (other): Swollen armpit with pain laat 2 days. Today pain is gone, but still swollen
Systemic reaction (other): Armpit on shot side still a little swollen and becomes sore depending on movement
Systemic reaction (other): Lymph nodes under shot armpit still a little swollen
Systemic reaction (other): Lymph nodes under armpit still a tiny bit swollen
Release 11
Symptoms: Blood in urine. Seeing a urologist about it.
Release 12
Symptoms: Vertigo attacks off and on and have progressively gotten worse. Makes me wonder if the vaccine or covid played a part since pre oandemic i did not have them
Healthcare visit (other): Doctor's Office
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 | Office visit | · | · | ✓ |
| SD | Blood urine present | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ○ |
| SRO | Panic attack | ✓ | ✓ | ○ |
| SRO | Panic reaction | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release