Z5L-23003-18092
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 710 / LA
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Registered in v-safe
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-18
Survey response — day 0, dose 1MedDRA: Blood pressure increased, Dizziness, Immediate post-injection reaction, Medical observation — Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): 5-7 minutes after the injection I experienced dizziness and a spike in my blood pressure. They put ice packs on my neck and had me drink a bottle of cold water. I was taken by wheelchair to an observation area. One hour after the dizziness occurred it slow went away and I was able to leave. · Healthcare visit (other): I was taken by wheelchair and was observed in a observation areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-18
Report sent to call center — day 0, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2020-12-20
- 2020-12-20
- 2020-12-21
-
2020-12-21
Callback requested for6:00EST
-
2020-12-21
Call successfulParticipant prefers to complete VAERS report online
- 2020-12-22
- 2020-12-23
- 2020-12-27
- 2021-01-01
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-04-09
Survey response — 3 months, dose 2MedDRA: Blood calcium increased, Hepatic enzyme abnormal — Feeling: GoodFree text: My doctor says that my liver enzymes are elevated and calcium levels are high as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-11
-
2021-08-27
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-01
- 2021-10-08
- 2021-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-08-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-18 | Successful 2020-12-21 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): 5-7 minutes after the injection I experienced dizziness and a spike in my blood pressure. They put ice packs on my neck and had me drink a bottle of cold water. I was taken by wheelchair to an observation area. One hour after the dizziness occurred it slow went away and I was able to leave.
Healthcare visit (other): I was taken by wheelchair and was observed in a observation area
Release 7 — 3 months, dose 2
Symptoms: My doctor says that my liver enzymes are elevated and calcium levels are high as well.
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 | Medical observation | ✓ | ✓ | ✓ |
| SD | Blood calcium increased | ✓ | ✓ | ✓ |
| SD | Hepatic enzyme abnormal | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release