ZQC-26981-67710
1 vaccination
1 coded response
7 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 081 / NJ
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Pfizer-BioNTech
-
2021-01-14
Registered in v-safe
-
2021-01-14
Survey response — day 7, dose 1MedDRA: Asthenia, Blood pressure increased, Chills, Decreased appetite, Dizziness, Emergency care, Headache, Heart rate irregular, Immediate post-injection reaction, Pain, Pre-existing disease, Presyncope, Pyrexia, Rash, Swollen tongue — Feeling: Fair · Site: Pain, Redness · Be unable to work, Be unable to do your normal daily activitiesFree text: It has been 1 week since I received the vaccine. Immediately after receiving the vaccine I was light headed, heart rate rose into the 100s then dropped into the 60s. Blood pressure rose to 173/114. Almost passed out. Took me to ER and my upper torso, both arms, neck and face broke out into a rash. And My tongue started to swell. About 30 hours later I had fever, chills, and body aches. This lasted 24 hours. Then I had a horrific headache. I felt weak and still do. For the first 4 days I had no appetite and still do not have much of one. I also have lupus but am not on any immunosuppressant medications.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-07-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | priority 2/3 |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): It has been 1 week since I received the vaccine. Immediately after receiving the vaccine I was light headed, heart rate rose into the 100s then dropped into the 60s. Blood pressure rose to 173/114. Almost passed out. Took me to ER and my upper torso, both arms, neck and face broke out into a rash. And My tongue started to swell. About 30 hours later I had fever, chills, and body aches. This lasted 24 hours. Then I had a horrific headache. I felt weak and still do. For the first 4 days I had no appetite and still do not have much of one. I also have lupus but am not on any immunosuppressant medications.
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 |
|---|---|---|---|---|
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Presyncope | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release