Z7P-51567-87255
5 vaccinations
11 coded responses
26 check-ins
10 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 750 / TX
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-12
Dose 1 — Pfizer-BioNTech
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2021-04-02
Dose 2 — Pfizer-BioNTech
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2021-04-06
Registered in v-safe
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Medical counselling, Oxygen saturation decreased — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My HR has been 120-130. Oxygen has been lower 80s. Doc is sending me to a cardiologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Oxygen saturation decreased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Low oxygen 82-89 and HR 120-133MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Survey response — day 7, dose 2MedDRA: Heart rate increased — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Resting HR will not go below 120 and 02 is 88-92. Doc referred me to a cardiologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 14, dose 2MedDRA: Dyspnoea, Upper-airway cough syndrome — Feeling: Fair · Be unable to work, 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: My resting heart rate remains above 100 at all times. Excessive post nasal drip that cannot be resolved with any meds. I cant seem to catch my breath and oxygen levels remain dangerously low.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-23
Survey response — day 21, dose 2MedDRA: Agitation, Confusional state, Dyspnoea, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breath- only when deep breathing. Incessant nasal dripAnd I have no allergies. Confusion. Easily agitated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 28, dose 2MedDRA: Office visit, Tachycardia, Visual impairment — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed with tachycardia but not given anything to help it. I am not as fatigued as I was prior to vax. My vision has progressively gotten worse and I am going to see an eye doc. · Healthcare visit (other): Saw cardiologist and neurologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-07
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2021-05-16
Survey response — day 42, dose 2MedDRA: Anxiety, Heart rate increased, Irritability, Nightmare, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Chronic nasal drip getting worse. HR over 110 always. High anxiety. Irritable. Nightmares.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Blister, Pruritus, Rash — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: A severe rash. Blisters. Itching. Burning. It was in between my fingers. All over arms, chin and neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 3 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 pr1 call case(s)
- 2021-07-20
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2021-07-20
Call successfulCompleted over the phone
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2021-07-20
Call successfulCompleted over the phone
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2021-07-20
Call successfulCompleted over the phone
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2021-07-20
Call successfulCompleted over the phone
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2021-07-20
Call successfulCompleted over the phone
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2021-09-20
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-03
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2021-10-03
Health check-in — day 7, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitAdult check-in
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2021-10-03
Report sent to call center — day 7, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-04
Survey response — day 14, dose 3MedDRA: Impaired healing, Rash, Skin burning sensation — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: The rash on my legs that arrived a month or so after my second dose has gotten much worse. They are not healing and the doctors are lost. They burn 24/7 and are not healing. Every day new batches show up.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-10-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-12
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-12-20
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2022-03-17
Dose 4 — Pfizer-BioNTech
- 2022-03-22
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2022-09-09
Dose 5 — Pfizer-BioNTechCo-administered: Flu:Pneumonia
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2022-09-23
Survey response — 12 months, dose 3MedDRA: COVID-19, Contusion, Pain in extremity, Skin ulcer — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I had awful painful ulcers on my legs that no one could cure and blood filled bruises on my legs from my 2nd covid infection. Since vax 5- they are healing and going away. I have documented the entire process in pix.MedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-25
- 2022-09-27
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2022-09-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-02
- 2022-10-07
- 2022-10-16
- 2022-10-22
- 2022-12-09
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2023-03-12
Survey response — 6 months, dose 5MedDRA: Antinuclear antibody positive, Anxiety, Cognitive disorder, Confusional state, Depression, Insomnia, Memory impairment, Nausea, Neurological symptom, Temperature regulation disorder, Thyroid disorder — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-12
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-03-14
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-09-20 | Pfizer-BioNTech | Flu |
| 4 | 2022-03-17 | Pfizer-BioNTech | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | Flu:Pneumonia |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-06 | Successful 2021-07-20 |
Completed over the phone |
| 2021-04-08 | Successful 2021-07-20 |
Completed over the phone |
| 2021-04-16 | Successful 2021-07-20 |
Completed over the phone |
| 2021-04-30 | Successful 2021-07-20 |
Completed over the phone |
| 2021-07-02 | Successful 2021-07-20 |
Completed over the phone |
| 2021-10-03 | Successful 2021-10-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-10-04 | Successful 2021-10-05 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-09-23 | Successful 2022-09-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-03-12 | Successful 2023-03-14 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My HR has been 120-130. Oxygen has been lower 80s. Doc is sending me to a cardiologist.
Systemic reaction (other): Low oxygen 82-89 and HR 120-133
Release 7 — day 7, dose 2
Systemic reaction (other): Resting HR will not go below 120 and 02 is 88-92. Doc referred me to a cardiologist.
Release 7 — day 14, dose 2
Symptoms: My resting heart rate remains above 100 at all times. Excessive post nasal drip that cannot be resolved with any meds. I cant seem to catch my breath and oxygen levels remain dangerously low.
Release 7 — day 21, dose 2
Symptoms: Shortness of breath- only when deep breathing. Incessant nasal dripAnd I have no allergies. Confusion. Easily agitated.
Release 8 — day 28, dose 2
Symptoms: Diagnosed with tachycardia but not given anything to help it. I am not as fatigued as I was prior to vax. My vision has progressively gotten worse and I am going to see an eye doc.
Healthcare visit (other): Saw cardiologist and neurologist
Release 8 — day 42, dose 2
Symptoms: Chronic nasal drip getting worse. HR over 110 always. High anxiety. Irritable. Nightmares.
Release 9 — 3 months, dose 2
Symptoms: A severe rash. Blisters. Itching. Burning. It was in between my fingers. All over arms, chin and neck.
Release 9 — day 14, dose 3
Symptoms: The rash on my legs that arrived a month or so after my second dose has gotten much worse. They are not healing and the doctors are lost. They burn 24/7 and are not healing. Every day new batches show up.
Release 12 — 12 months, dose 3
Symptoms: I had awful painful ulcers on my legs that no one could cure and blood filled bruises on my legs from my 2nd covid infection. Since vax 5- they are healing and going away. I have documented the entire process in pix.
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 | Agitation | ✓ | ✓ | ✓ |
| SD | Antinuclear antibody positive | · | · | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Impaired healing | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Nightmare | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | · | · | ✓ |
| SD | Skin ulcer | · | · | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SD | Temperature regulation disorder | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release