ZJX-26352-93541
3 vaccinations
3 coded responses
3 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 805 / CO
- Registered
- 2021-12-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Pfizer-BioNTech
-
2021-05-04
Dose 2 — Pfizer-BioNTech
-
2021-12-13
Dose 3 — Pfizer-BioNTech
-
2021-12-15
Registered in v-safe
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2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Burning sensation, Chills, Heart rate increased, Hyperhidrosis, Lymphadenopathy, Presyncope, Unevaluable event, Vomiting — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My symptoms started exactly 14 hours after the 3rd shot and very severe unlike shots 1 and 2. Violent vomiting almost to blacking out. Burning organs inside, almost "radioactive" Bulging lymph node in armpit. Chills to severe sweats. Elevated heart · Healthcare visit (other): None, Vaccination was done at a pharmacy. I have not been into see a doctor.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Report sent to call center — days 1–6 daily, dose 3Be 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)
-
2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature fluctuation, Burning sensation, Fatigue, Lymphadenopathy, Menstruation irregular, Mobility decreased, Myalgia, Nausea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Organs burning inside, can't regulate body temp, waves of nausea, extreme muscle soreness, unscheduled menstrual cycle, bulging lymph node in armpit, extreme fatigue, · Healthcare visit (other): Non-functioning at the moment, cannot even get out of bed much less get to a doctorMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Report sent to call center — days 1–6 daily, dose 3Be 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)
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2021-12-16
Call successfulParticipant prefers to complete VAERS report online
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2021-12-17
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Ocular hyperaemia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Enlarged lymph node still present in armpit, blood shot eyes,MedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | No |
| 2 | 2021-05-04 | Pfizer-BioNTech | No |
| 3 | 2021-12-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-15 | Successful 2021-12-16 |
Participant prefers to complete VAERS report online |
| 2021-12-16 | Successful 2021-12-17 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My symptoms started exactly 14 hours after the 3rd shot and very severe unlike shots 1 and 2. Violent vomiting almost to blacking out. Burning organs inside, almost "radioactive" Bulging lymph node in armpit. Chills to severe sweats. Elevated heart cut off by CDC
Healthcare visit (other): None, Vaccination was done at a pharmacy. I have not been into see a doctor.
Systemic reaction (other): Organs burning inside, can't regulate body temp, waves of nausea, extreme muscle soreness, unscheduled menstrual cycle, bulging lymph node in armpit, extreme fatigue,
Healthcare visit (other): Non-functioning at the moment, cannot even get out of bed much less get to a doctor
Systemic reaction (other): Enlarged lymph node still present in armpit, blood shot eyes,
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 | Mobility decreased | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SRO | Body temperature fluctuation | · | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Menstruation irregular | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Ocular hyperaemia | · | · | ✓ |
| SRO | Presyncope | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release