Y9W-71697-59256
2 vaccinations
14 coded responses
23 check-ins
14 free-text entries
20 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 680 / NE
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-16
Dose 1 — Pfizer-BioNTech
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2020-12-17
Registered in v-safe
- 2020-12-17
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2020-12-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2020-12-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2020-12-20
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2020-12-21
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2020-12-22
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2020-12-25
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2020-12-25
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2020-12-29
- 2020-12-29
- 2020-12-29
- 2020-12-29
- 2020-12-29
- 2020-12-30
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2020-12-30
Call successfulDoes not wish to fill out VAERS report
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2020-12-30
Call successfulDoes not wish to fill out VAERS report
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2020-12-30
Call successfulDoes not wish to fill out VAERS report
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2020-12-30
Call successfulDoes not wish to fill out VAERS report
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2020-12-30
Call successfulDoes not wish to fill out VAERS report
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2021-01-05
Dose 2 — Pfizer-BioNTech
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2021-01-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hypertension, Tachycardia — 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 activitiesFree text: Hypertensive, Tachycardia, DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities2 call case(s)
- 2021-01-06
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2021-01-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-07
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2021-01-08
Survey response — days 1–6 daily, dose 2MedDRA: Hypertension, Tachycardia — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Hypertension, TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Hypertension, Tachycardia — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Hypertension, TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Hypertension, Tachycardia — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Hypertension, TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Hypertension, Tachycardia — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, 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: Hypertension TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-12
Survey response — day 7, dose 2MedDRA: Blood pressure abnormal — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: BP issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Survey response — day 14, dose 2MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Be unable to work, 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: Lightheaded, Dizzy, heart rate goes up when I standMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-26
Survey response — day 21, dose 2MedDRA: Dizziness — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pulse still goes up, dizzy and lightheaded are very minimalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Report sent to call center — day 21, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-02
Survey response — day 28, dose 2MedDRA: Blood pressure abnormal, Dizziness, Specialist consultation, Tachycardia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Tachycardia and BP issues, lightheaded/dizzy · Healthcare visit (other): CardiologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — day 28, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-09
Survey response — day 35, dose 2MedDRA: Dizziness, Tachycardia — Feeling: Fair · Be unable to workFree text: Lightheaded Tachycardia at timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Call successfulCompleted over the phone
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2021-02-16
Survey response — day 42, dose 2MedDRA: Chest pain, Dizziness, Fatigue — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Chest Pain, tired, lightheaded tachy, Taking BP meds nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 42, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-06
Survey response — 3 months, dose 2MedDRA: Chest pain, Cough, Dizziness, Dyspnoea, Fatigue, Feeling abnormal — Feeling: Fair · Be unable to work, 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: Continued chest pains, short of breath, tired, dry cough, fuzzy lightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-04
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2021-07-06
Survey response — 6 months, dose 2MedDRA: Contusion, Inflammation — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Severe bruising inflammation in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Report sent to call center — 6 months, 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)
- 2021-07-08
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2022-01-05
Survey response — 12 months, dose 2MedDRA: Brain fog, Chest pain, Cough, Dyspnoea exertional, Fatigue, Post-acute COVID-19 syndrome, SARS-CoV-2 test positive, Tinnitus — 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: Tested positive for Covid on Jan 2,2022 Was going to start post Covid long haulers clinic on 3rd but now postponed. Still have brain fog , pain in chest, SOB with activity, lingering cough, on a Beta Blocker tiredness ear ringing in both earsMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Report sent to call center — 12 months, dose 2Be 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)
- 2022-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-19 | Successful 2020-12-30 |
Does not wish to fill out VAERS report |
| 2020-12-20 | Successful 2020-12-30 |
Does not wish to fill out VAERS report |
| 2020-12-21 | Successful 2020-12-30 |
Does not wish to fill out VAERS report |
| 2020-12-22 | Successful 2020-12-30 |
Does not wish to fill out VAERS report |
| 2020-12-25 | Successful 2020-12-30 |
Does not wish to fill out VAERS report |
| 2021-01-06 | Successful | Completed over the phone |
| 2021-01-06 | Successful | Completed over the phone |
| 2021-01-07 | Successful | Completed over the phone |
| 2021-01-08 | Successful | Completed over the phone |
| 2021-01-09 | Successful | Completed over the phone |
| 2021-01-10 | Successful | Completed over the phone |
| 2021-01-11 | Successful | Completed over the phone |
| 2021-01-12 | Successful 2021-02-12 |
Completed over the phone |
| 2021-01-19 | Successful | Completed over the phone |
| 2021-01-26 | Successful | Completed over the phone |
| 2021-02-02 | Successful | Completed over the phone |
| 2021-02-16 | Successful | Completed over the phone |
| 2021-04-06 | Successful | Completed over the phone |
| 2021-07-06 | Unsuccessful | |
| 2022-01-05 | Unsuccessful | Reported to VAERS during previous contact from GDIT |
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Hypertensive, Tachycardia, Dizzy
Systemic reaction (other): Hypertension, Tachycardia
Systemic reaction (other): Hypertension, Tachycardia
Systemic reaction (other): Hypertension, Tachycardia
Systemic reaction (other): Hypertension Tachycardia
Release 1 — day 7, dose 2
Systemic reaction (other): BP issues
Release 2 — day 14, dose 2
Symptoms: Lightheaded, Dizzy, heart rate goes up when I stand
Release 2 — day 21, dose 2
Symptoms: Pulse still goes up, dizzy and lightheaded are very minimal
Release 3 — day 28, dose 2
Symptoms: Tachycardia and BP issues, lightheaded/dizzy
Healthcare visit (other): Cardiologist
Release 3 — day 35, dose 2
Symptoms: Lightheaded Tachycardia at times
Release 4 — day 42, dose 2
Symptoms: Chest Pain, tired, lightheaded tachy, Taking BP meds now
Release 7 — 3 months, dose 2
Symptoms: Continued chest pains, short of breath, tired, dry cough, fuzzy lightheaded
Release 9 — 6 months, dose 2
Symptoms: Severe bruising inflammation in chest
Release 10 — 12 months, dose 2
Symptoms: Tested positive for Covid on Jan 2,2022 Was going to start post Covid long haulers clinic on 3rd but now postponed. Still have brain fog , pain in chest, SOB with activity, lingering cough, on a Beta Blocker tiredness ear ringing in both ears
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Blood pressure abnormal | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Blood pressure abnormal | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release