XZJ-15037-99047
3 vaccinations
5 coded responses
33 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 221 / VA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
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2021-04-07
Dose 1 — Pfizer-BioNTech
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2021-04-07
Survey response — day 0, dose 1MedDRA: Heart rate abnormal — Feeling: Good · Site: PainFree text: Elevated heart rate about 3-5 minutes after receiving vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-11
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-14
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2021-04-21
Survey response — day 14, dose 1MedDRA: Chest discomfort, Hypoaesthesia — Feeling: FairFree text: Uncomfortable feeling in left side of chest as well as numbness in left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-04-28
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes in right armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-04
- 2021-05-05
- 2021-05-14
- 2021-05-21
- 2021-05-26
- 2021-06-02
- 2021-06-11
- 2021-07-28
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Arthralgia, Chest pain, Muscular weakness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest pain, shoulder pain, left arm weaknessMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-28
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2021-11-20
Dose 3 — Pfizer-BioNTech
- 2021-11-20
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Heart rate increased, Lymphadenopathy — Feeling: Poor · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dizziness, lightheaded, elevated heart rate, swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-23
- 2021-11-23
- 2021-11-24
- 2021-11-26
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2022-01-03
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-27 | Unsuccessful | |
| 2021-11-22 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Elevated heart rate about 3-5 minutes after receiving vaccine
Release 7 — day 14, dose 1
Symptoms: Uncomfortable feeling in left side of chest as well as numbness in left arm.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in right armpit
Release 10 — 6 months, dose 2
Symptoms: Chest pain, shoulder pain, left arm weakness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness, lightheaded, elevated heart rate, swollen lymph nodes
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 | Arthralgia | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Heart rate abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release