Z5U-15004-72504
1 vaccination
7 coded responses
8 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 926 / CA
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-11
Registered in v-safe
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Acne, Blood pressure increased, Erythema, Flatulence, Intermenstrual bleeding, Stomatitis — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: elevated blood pressure, sore around the mouth, pimples at back of my head small red spot on top of vein on back of my right hand, farts a lot period spottingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Flatulence, Vulvovaginal mycotic infection — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: vaginal yeast infection , a lot of gasesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 7, dose 1MedDRA: Emergency care, Heart rate irregular, Hypoaesthesia, Insomnia, Night sweats, Telemedicine — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Systemic reaction (other): woke up with heartbeat at 120beat|min finger numbness night sweats & insomnia · Healthcare visit (other): on 4|12ER on 4|13 telemedicine visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Survey response — day 14, dose 1MedDRA: Anxiety, Emergency care, Heart rate increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Fast heart beat more than 100bts|min,especially afternoonNight times, numerous anxiety attacks early morning several ER tripsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Survey response — day 21, dose 1MedDRA: Headache — Feeling: PoorFree text: headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 28, dose 1MedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
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2021-07-07
Survey response — 3 months, dose 1MedDRA: Cyst — Feeling: GoodFree text: right ovary cyst 13 mm in sizeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-11-08
- 2021-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Unsuccessful | |
| 2021-04-21 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): elevated blood pressure, sore around the mouth, pimples at back of my head small red spot on top of vein on back of my right hand, farts a lot period spotting
Systemic reaction (other): vaginal yeast infection , a lot of gases
Release 7 — day 7, dose 1
Systemic reaction (other): woke up with heartbeat at 120beat|min finger numbness night sweats & insomnia
Healthcare visit (other): on 4|12ER on 4|13 telemedicine visit
Release 7 — day 14, dose 1
Symptoms: Fast heart beat more than 100bts|min,especially afternoonNight times, numerous anxiety attacks early morning several ER trips
Release 8 — day 21, dose 1
Symptoms: headaches
Release 8 — day 28, dose 1
Symptoms: Headache
Release 9 — 3 months, dose 1
Symptoms: right ovary cyst 13 mm in size
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 | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Cyst | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Vulvovaginal mycotic infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release