Z5F-27452-36620
3 vaccinations
7 coded responses
31 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 782 / TX
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-22
Dose 1 — Pfizer-BioNTech
-
2021-04-23
Registered in v-safe
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: General upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
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2021-05-13
Dose 2 — Pfizer-BioNTech
- 2021-05-13
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2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-03
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2021-06-10
Survey response — day 28, dose 2MedDRA: Chills — Feeling: FairFree text: Ive had chills on and off for the past week. I believe it started on or around 6/3 or 6/4.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — day 35, dose 2MedDRA: Chills — Feeling: FairFree text: Constant chills. They come and go, but they suddenly appeared about 2 weeks ago. I cant find any other explanation for them besides getting the COVID vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-24
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2021-08-12
Survey response — 3 months, dose 2MedDRA: Brain fog, Chills, Dizziness, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Constant chills for the past month or so. Extreme brain fog. Feeling faint periodically. · Healthcare visit (other): My primary care doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-12
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
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2021-11-11
Survey response — 6 months, dose 2MedDRA: Chest pain, Dizziness — 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: Ongoing dizziness, chest pain, etc. Not sure if related or not.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-12
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2021-11-21
Dose 3 — Pfizer-BioNTech
- 2021-12-07
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-02-20
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2022-05-23
Survey response — 6 months, dose 3MedDRA: Dizziness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Dizziness/"almost-fainting spells" (I feel like I'm *about* to faint and have to fight to keep myself from losing consciousness, but I haven't fully fainted yet) and I've started seeing a cardiologist. I ran tests but don't have a diagnosis yet. · Healthcare visit (other): CardiologistMedDRA releases: 2024-11 · check-in free text available
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2022-05-23
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-21
Survey response — 12 months, dose 3MedDRA: Ageusia, Anosmia, Hospitalisation, Malaise, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I was in a medical setting (not a hospital, but an inpatient facility) for a week and when I got home, I suddenly lost my sense of smell/taste and felt very ill for about 2 days, but I tested negative for COVID and had no fever/respiratory symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Pfizer-BioNTech | |
| 2 | 2021-05-13 | Pfizer-BioNTech | |
| 3 | 2021-11-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-12 | Successful 2022-05-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-11-11 | Successful 2022-05-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-23 | Successful 2022-05-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): General upset stomach
Release 9 — day 28, dose 2
Symptoms: Ive had chills on and off for the past week. I believe it started on or around 6/3 or 6/4.
Release 9 — day 35, dose 2
Symptoms: Constant chills. They come and go, but they suddenly appeared about 2 weeks ago. I cant find any other explanation for them besides getting the COVID vaccine
Release 9 — 3 months, dose 2
Symptoms: Constant chills for the past month or so. Extreme brain fog. Feeling faint periodically.
Healthcare visit (other): My primary care doctor
Release 10 — 6 months, dose 2
Symptoms: Ongoing dizziness, chest pain, etc. Not sure if related or not.
Release 11 — 6 months, dose 3
Symptoms: Dizziness/"almost-fainting spells" (I feel like I'm *about* to faint and have to fight to keep myself from losing consciousness, but I haven't fully fainted yet) and I've started seeing a cardiologist. I ran tests but don't have a diagnosis yet.
Healthcare visit (other): Cardiologist
Release 12 — 12 months, dose 3
Symptoms: I was in a medical setting (not a hospital, but an inpatient facility) for a week and when I got home, I suddenly lost my sense of smell/taste and felt very ill for about 2 days, but I tested negative for COVID and had no fever/respiratory symptoms cut off by CDC
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 | Office visit | ✓ | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release