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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

  1. 2021-01-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free 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
  4. 2021-01-14
    Report sent to call center — day 7, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-04
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-11
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-18
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-07-08
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-01-14 priority 2/3

Free text

Release 2 — day 7, dose 1

2021-01-14

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

FieldPreferred term2021-092023-042024-11
SROAsthenia ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate irregular ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPresyncope ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release