ZL9-13417-99518
3 vaccinations
12 coded responses
34 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 292 / SC
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
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2021-02-02
Registered in v-safe
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2021-02-02
Dose 1 — Pfizer-BioNTech
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2021-02-02
Survey response — day 0, dose 1MedDRA: Ocular discomfort — Feeling: Fair · HeadacheFree text: Pressure behind my eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Emergency care, Hypertension, Office visit — Feeling: Poor · Headache · 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): High blood pressure. I can get my blood pressure to come down and stabilize. I went to the ER on Tuesday night. I am in the ER now. Pressure is 205/95. · Healthcare visit (other): Doctor visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Report sent to call center — days 1–6 daily, 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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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Cardiac flutter, Dyspnoea, Headache — Feeling: Fair · HeadacheFree text: I had a severe headache last night so I went to the ER. I woke up this morning gasping for air and my heart was fluttering. I called 911.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Cardiac flutter, Dyspnoea, Emergency care, Hypertension, Office visit — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: I woke up in Friday morning gasping for breath and heart fluttering. I went to the ER. Later, I went to see my family doctor. He prescribed Tramadol-acetaminophen 36.5-325. Take 1 tablet by mouth every 4 hours as needed for pain. He also prescribed Clonidine HCL 0.1. Take only if my blood pressure is above 175/105. I just took one. My pressure was 204/94.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Blood pressure is still high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 7, dose 1MedDRA: Hypertension — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Blood pressure still highMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — day 14, dose 1MedDRA: Blood pressure fluctuation, Hypertension, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My blood pressure is still high. I am in Clonodine and Metoprolol and it is still fluctuating. I am scheduled for my next shot on next Tuesday. I need some advice. Someone was suppose to call me. Please respond!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Dose 2 — Pfizer-BioNTech
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
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2021-03-16
Survey response — day 21, dose 2MedDRA: Hypertension — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood pressure is still high. Did not have high blood pressure before I took my first Covid vaccine on 2/2/2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 28, dose 2MedDRA: Hypertension, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Blood pressure is still high. Doctor has me on three different medications(Valsartan 320MG@night, Clonidine HCL as needed when pressure is elevated and Hydralazine 10MG 3X a day. · Healthcare visit (other): Doctor visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
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2021-04-06
Survey response — day 42, dose 2MedDRA: Blood pressure abnormal, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I am still having problems with my blood pressure. No one has contacted me yet. I have amassed a lot of doctor bill. Need financial assistance. · Healthcare visit (other): Appointment with me family doctor, a kidney scan and a carotenoid artery scan.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 — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-25
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2021-06-28
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-24
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2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-10-01
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure increased — Feeling: GoodFree text: My blood pressure has escalated since I had my first Covid sho(2/2/2021).MedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-11
- 2021-12-29
- 2022-03-29
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2022-09-28
Survey response — 12 months, dose 3MedDRA: Tension headache — Feeling: FairFree text: Frequent tightening in my headMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-04 | Successful | Participant prefers to complete VAERS report online |
| 2021-03-23 | Successful | Participant prefers to complete VAERS report online |
| 2021-04-06 | Successful 2021-06-28 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Pressure behind my eyes
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): High blood pressure. I can get my blood pressure to come down and stabilize. I went to the ER on Tuesday night. I am in the ER now. Pressure is 205/95.
Healthcare visit (other): Doctor visit.
Systemic reaction (other): I had a severe headache last night so I went to the ER. I woke up this morning gasping for air and my heart was fluttering. I called 911.
Systemic reaction (other): I woke up in Friday morning gasping for breath and heart fluttering. I went to the ER. Later, I went to see my family doctor. He prescribed Tramadol-acetaminophen 36.5-325. Take 1 tablet by mouth every 4 hours as needed for pain. He also prescribed Clonidine HCL 0.1. Take only if my blood pressure is above 175/105. I just took one. My pressure was 204/94.
Systemic reaction (other): Blood pressure is still high.
Release 4 — day 7, dose 1
Systemic reaction (other): Blood pressure still high
Release 4 — day 14, dose 1
Symptoms: My blood pressure is still high. I am in Clonodine and Metoprolol and it is still fluctuating. I am scheduled for my next shot on next Tuesday. I need some advice. Someone was suppose to call me. Please respond!!
Release 5 — day 21, dose 2
Symptoms: Blood pressure is still high. Did not have high blood pressure before I took my first Covid vaccine on 2/2/2021.
Release 6 — day 28, dose 2
Symptoms: Blood pressure is still high. Doctor has me on three different medications(Valsartan 320MG@night, Clonidine HCL as needed when pressure is elevated and Hydralazine 10MG 3X a day.
Healthcare visit (other): Doctor visits
Release 7 — day 42, dose 2
Symptoms: I am still having problems with my blood pressure. No one has contacted me yet. I have amassed a lot of doctor bill. Need financial assistance.
Healthcare visit (other): Appointment with me family doctor, a kidney scan and a carotenoid artery scan.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): My blood pressure has escalated since I had my first Covid sho(2/2/2021).
Release 12 — 12 months, dose 3
Symptoms: Frequent tightening in my head
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 | Blood pressure abnormal | ✓ | ✓ | ✓ |
| SD | Blood pressure fluctuation | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tension headache | · | · | ✓ |
| SRO | Blood pressure increased | · | · | ✓ |
| SRO | Cardiac flutter | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release