XYJ-25421-70400
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 809 / CO
- Registered
- 2021-05-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-18
Registered in v-safe
-
2021-05-18
Dose 1 — Pfizer-BioNTech
-
2021-05-18
Survey response — 0 day, dose 1MedDRA: Dysgeusia — Feeling: Fair · Joint painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-20
- 2021-05-21
- 2021-05-22
-
2021-05-24
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Nodule — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-25
Survey response — 7 day, dose 1MedDRA: Lymphadenopathy — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-01
-
2021-06-09
Dose 2 — Pfizer-BioNTech
-
2021-06-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-06-11
- 2021-06-12
- 2021-06-14
- 2021-06-15
- 2021-06-16
-
2021-06-23
Survey response — 14 day, dose 2MedDRA: Anxiety, Chest discomfort, Dizziness postural, Dyspnoea, Emergency care, Limb discomfort, Paraesthesia — Feeling: Poor · 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 visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-23
Report sent to call center — 14 day, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-30
-
2021-06-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-09
- 2021-07-14
- 2021-07-21
- 2021-09-08
- 2021-12-10
- 2022-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-18 | Pfizer-BioNTech | |
| 2 | 2021-06-09 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-23 | Successful 2021-06-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8
Systemic reaction (other): A slight metallic taste in my mouth
Systemic reaction (other): I have a nodule above my clavicle where my neck and shoulder meet on the left side (side where I got the vaccine)
Systemic reaction (other): Still have that bump above my left clavicle where my shoulder and neck meet.
Release 9
Symptoms: Went to ER Monday for tingling and heaviness in left arm, tightness across chest, major anxiety, shortness of breath, dizziness upon standing/walking, feeling of dread - suspect anxiety attack after being outside Sunday near a lightning strike.
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 |
|---|---|---|---|---|
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dizziness postural | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nodule | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release