Y27-31790-62996
5 vaccinations
6 coded responses
46 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 282 / NC
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-07
Dose 1 — Pfizer-BioNTech
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-04-29
Dose 2 — Pfizer-BioNTech
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Pain · Muscle or body achesFree text: Swelling in the fingers on the same side as the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Itching · Fever · Headache, Fatigue or tirednessFree text: Fingers on the injection side are swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-11-03
Dose 3 — Pfizer-BioNTech
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Fair · Site: Redness, ItchingFree text: Swelling in the armpit on the side I received the shotMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain, Oedema peripheral — Feeling: Good · Site: SwellingFree text: Mild swelling in the armpit & soreness in the breast on the side of the injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
- 2022-05-06
-
2022-05-11
Dose 4 — Moderna
-
2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-10-12
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
-
2022-12-23
Survey response — 3 months, dose 5MedDRA: Cardiac flutter, Chest discomfort, Loss of consciousness, Syncope, Unevaluable event — Feeling: Fair · 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: Symptoms: I fainted while exercising & was unresponsive for roughly 1 minute. I felt a lot of pressure on my chest twice & a fluttering just before falling unconscious.Bloodwork shows no cardiac damage, the cause is still unknown. · Healthcare visit (other): Due to the holidays other appointments are delayed.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-23
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-27
-
2022-12-28
Call successfulCompleted over the phone
-
2023-03-24
Survey response — 6 months, dose 5MedDRA: Extrasystoles, Heart rate irregular, Syncope — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-11-03 | Pfizer-BioNTech | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-23 | Successful 2022-12-28 |
Completed over the phone |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling in the fingers on the same side as the injection
Systemic reaction (other): Fingers on the injection side are swollen
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling in the armpit on the side I received the shot
Systemic reaction (other): Mild swelling in the armpit & soreness in the breast on the side of the injection
Release 12 — 3 months, dose 5
Symptoms: I fainted while exercising & was unresponsive for roughly 1 minute. I felt a lot of pressure on my chest twice & a fluttering just before falling unconscious.Bloodwork shows no cardiac damage, the cause is still unknown.
Healthcare visit (other): Due to the holidays other appointments are delayed.
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 | Unevaluable event | · | · | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release