ZJT-23171-50439
1 vaccination
8 coded responses
14 check-ins
8 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 214 / MD
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-07
Registered in v-safe
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Anaphylactic reaction — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Anaphylaxis following shot · Healthcare visit (other): AnaphylaxisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be 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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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Oropharyngeal pain, Painful respiration — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, pain with breathing, chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Painful respiration — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Painful respirations, chest pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Tachycardia, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breath, tachycardia, hivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-13
Survey response — day 7, dose 1MedDRA: Chest discomfort, Dyspnoea, Tachycardia — Feeling: Fair · Rash, not including the immediate area around the injection site · 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: Shortness of breath and chest pressure, tachycardia with activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-21
Survey response — day 14, dose 1MedDRA: Chest pain, Dyspnoea, Nausea — Feeling: Fair · 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: Now off steroids and shortness of breath, chest pain, abdominal pain and nausea have returnedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-27
- 2021-02-03
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2021-02-08
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-02-10
- 2021-02-18
- 2021-04-07
- 2021-07-07
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2022-01-06
Survey response — 12 months, dose 1MedDRA: Cough, Dyspnoea, Fatigue, Headache, Oropharyngeal pain, Pyrexia — 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 · Telehealth, virtual health, or email health consultationFree text: Shortness of breath, cough, fever, headache, sore throat, fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-01-06
Report sent to call center — 12 months, dose 1Be 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 · 1 call case(s)
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2022-01-07
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-07 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-08 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-09 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-10 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-12 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-13 | Successful 2021-02-08 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-21 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2022-01-06 | Successful 2022-01-07 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Anaphylaxis following shot
Healthcare visit (other): Anaphylaxis
Systemic reaction (other): Sore throat, pain with breathing, chest tightness
Systemic reaction (other): Painful respirations, chest pressure
Systemic reaction (other): Shortness of breath
Systemic reaction (other): Shortness of breath, tachycardia, hives
Release 1 — day 7, dose 1
Systemic reaction (other): Shortness of breath and chest pressure, tachycardia with activities
Release 2 — day 14, dose 1
Symptoms: Now off steroids and shortness of breath, chest pain, abdominal pain and nausea have returned
Release 10 — 12 months, dose 1
Symptoms: Shortness of breath, cough, fever, headache, sore throat, fatigue
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 | Anaphylactic reaction | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ○ | ○ | ○ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Anaphylactic reaction | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release