Z6A-21622-80220
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 270 / NC
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Registered in v-safe
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: High blood pressure 162/101MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 21, dose 1MedDRA: Blood test abnormal — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had a positive D Dimer test and a CT scan of chest to check for a clot in my lungs but didnt see oneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-06-11
-
2021-07-07
Survey response — 3 months, dose 2MedDRA: Intermenstrual bleeding — Feeling: GoodFree text: Break through bleeding. I am on birth control and I am to not take the last week so Im not supposed to have a period and I have been experiencing menstrual cycle when Im not to gave one at all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-10-06
Survey response — 6 months, dose 2MedDRA: Coronary arterial stent insertion, Coronary artery thrombosis, Myocardial infarction — 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 · Emergency room or emergency department visit, HospitalizationFree text: Heart attack 5 weeks ago 2 stents in main artery 2 blood clots one 100% blocked another 70% blockedMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-10-07
Call successfulParticipant prefers to complete VAERS report online
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Myocardial infarction, Stent placement — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I had a heart attack and 2 stents put inMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
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 prHospitalization · 1 call case(s)
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-02 | Successful | Participant prefers to complete VAERS report online |
| 2021-10-06 | Successful 2021-10-07 |
Participant prefers to complete VAERS report online |
| 2022-04-07 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): High blood pressure 162/101
Release 6 — day 21, dose 1
Symptoms: I had a positive D Dimer test and a CT scan of chest to check for a clot in my lungs but didnt see one
Release 9 — 3 months, dose 2
Symptoms: Break through bleeding. I am on birth control and I am to not take the last week so Im not supposed to have a period and I have been experiencing menstrual cycle when Im not to gave one at all.
Release 10 — 6 months, dose 2
Symptoms: Heart attack 5 weeks ago 2 stents in main artery 2 blood clots one 100% blocked another 70% blocked
Release 11 — 12 months, dose 2
Symptoms: I had a heart attack and 2 stents put in
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 |
|---|---|---|---|---|
| SD | Blood test abnormal | ✓ | ✓ | ✓ |
| SD | Coronary arterial stent insertion | · | · | ✓ |
| SD | Coronary artery thrombosis | · | · | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SD | Myocardial infarction | · | · | ✓ |
| SD | Stent placement | · | · | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release