ZTA-30966-81540
2 vaccinations
5 coded responses
7 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 240 / VA
- Registered
- 2021-06-27
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-28
Dose 1 — Pfizer-BioNTech
-
2021-06-18
Dose 2 — Pfizer-BioNTech
-
2021-06-27
Registered in v-safe
-
2021-06-27
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-27
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
-
2021-07-01
Call successfulCompleted over the phone
-
2021-07-02
Survey response — day 14, dose 2MedDRA: Anaphylactic shock, Aphonia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Anaphylactic shock 6/28/21 and 6/30/21. Issue talking, losing voice long periods of time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — day 14, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-07
Call successfulReported to VAERS during previous contact from GDIT
-
2021-07-09
Survey response — day 21, dose 2MedDRA: Anaphylactic shock — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Anaphylaxic shockMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Report sent to call center — day 21, dose 2Be 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)
- 2021-07-14
-
2021-07-18
Survey response — day 28, dose 2MedDRA: Dysphagia, Dysphonia, Lymphadenopathy, Office visit, Oropharyngeal pain, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat, lymph node swelling in both armpits and right arm. Swelling in hands, feet, legs. Troublesome swallowing, voice reduction. · Healthcare visit (other): Dr. Visit in person 7/16MedDRA releases: 2024-11 · check-in free text available
-
2021-07-18
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)
- 2021-07-25
- 2021-07-30
-
2021-09-17
Survey response — 3 months, dose 2MedDRA: Blood pressure increased, Office visit, Swelling, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Higher blood pressure. BP had been 140s before shot after shot 150+ but Wed. 9/15 allergist visit was 188/123. Allergist started blood pressure rx immediately. Unable to take Ibuprofen for swelling. Can't take Prednisone since had for 3 weeks. · Healthcare visit (other): Bloodwork-SARS COVID antibodies and liver and kidney functionMedDRA releases: 2024-11 · check-in free text available
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2021-09-17
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-21
- 2021-09-23
- 2021-09-24
- 2021-09-24
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2021-09-28
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-28 | Pfizer-BioNTech | No |
| 2 | 2021-06-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-27 | Successful 2021-07-01 |
Completed over the phone |
| 2021-07-02 | Successful 2021-07-07 |
Reported to VAERS during previous contact from GDIT |
| 2021-07-09 | Unsuccessful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-07-18 | Unsuccessful | |
| 2021-09-17 | Successful 2021-09-28 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 7, dose 2
Systemic reaction (other): Swollen lymph nodes
Release 9 — day 14, dose 2
Symptoms: Anaphylactic shock 6/28/21 and 6/30/21. Issue talking, losing voice long periods of time.
Release 9 — day 21, dose 2
Symptoms: Anaphylaxic shock
Release 9 — day 28, dose 2
Symptoms: Sore throat, lymph node swelling in both armpits and right arm. Swelling in hands, feet, legs. Troublesome swallowing, voice reduction.
Healthcare visit (other): Dr. Visit in person 7/16
Release 9 — 3 months, dose 2
Symptoms: Higher blood pressure. BP had been 140s before shot after shot 150+ but Wed. 9/15 allergist visit was 188/123. Allergist started blood pressure rx immediately. Unable to take Ibuprofen for swelling. Can't take Prednisone since had for 3 weeks.
Healthcare visit (other): Bloodwork-SARS COVID antibodies and liver and kidney function
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Anaphylactic shock | ✓ | ✓ | ✓ |
| SD | Aphonia | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release