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YRJ-30976-62680

1 vaccination 7 coded responses 12 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
331 / FL
Registered
2021-06-09
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-06-09
    Registered in v-safe
  2. 2021-06-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-06-09
    Survey response — day 0, dose 1
    MedDRA: Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Medical counselling — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I began to sweat profusely and blackout a few mins after the shot and they had to bring the dr and take vitals
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-06-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Have not been able to catch my breath since i received the shot. Sometimes i feel ok, sometimes i feel like im going to keel over
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Mostly i still have tightness in my chest and left side and have trouble catching my breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Good · Headache, Nausea
    Free text: A little breathless
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Chest tightness. Short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-06-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Some chest tightness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-16
    Survey response — day 7, dose 1
    MedDRA: Chest discomfort, Cough — Feeling: Fair · Headache · Be unable to do your normal daily activities
    Free text: Tightness in chest. Coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-23
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  13. 2021-06-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-07-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-07-07
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-07-21
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-09Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-06-14 Successful
2021-06-23
Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 8 — day 0, dose 1

2021-06-09

Systemic reaction (other): I began to sweat profusely and blackout a few mins after the shot and they had to bring the dr and take vitals

Release 9 — days 1–6 daily, dose 1

2021-06-11

Systemic reaction (other): Have not been able to catch my breath since i received the shot. Sometimes i feel ok, sometimes i feel like im going to keel over

2021-06-12

Systemic reaction (other): Mostly i still have tightness in my chest and left side and have trouble catching my breath

2021-06-13

Systemic reaction (other): A little breathless

2021-06-14

Systemic reaction (other): Chest tightness. Short of breath

2021-06-15

Systemic reaction (other): Some chest tightness.

Release 9 — day 7, dose 1

2021-06-16

Systemic reaction (other): Tightness in chest. Coughing

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

FieldPreferred term2021-092023-042024-11
SROChest discomfort ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLoss of consciousness ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release