22J-51012-55682

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 895 / NV
Registered: 2021-01-19

Relationship: Self

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Survey response — day 0, dose 1
MedDRA: Angioedema, Unevaluable event — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Angioedema Medical follow included Benadryl, prednisone, xyzal, famotidine · Healthcare visit (other): Paramedic then to immunologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Angioedema, Office visit — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Angiordema GI And eye · Healthcare visit (other): Immunologist/allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Angina pectoris, Angioedema, Flushing, Office visit, Paraesthesia — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): GI angioedema; flushing & tingling · Healthcare visit (other): Doctor care; treating angina with meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Angioedema, Office visit, Pre-existing disease — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): GI angioedema flare, on steroids · Healthcare visit (other): Doctor ofgice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit — Feeling: Poor · Chills, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Doctor visit + Rx

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Angioedema, Hypersensitivity, Office visit — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still with symptoms to allergic reaction Covid vaccine Angioedema Possible glycol induced in vaccine · Healthcare visit (other): Office immunologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — day 7, dose 1
MedDRA: Office visit — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Dr visit started Xolair injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Call 1 — Left Voicemail
2021-05-07
Call 2 — Left Voicemail
2021-05-17
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 7

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-19

Systemic reaction (other): Angioedema Medical follow included Benadryl, prednisone, xyzal, famotidine

Healthcare visit (other): Paramedic then to immunologist

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): Angiordema GI And eye

Healthcare visit (other): Immunologist/allergist

2021-01-21

Systemic reaction (other): GI angioedema; flushing & tingling

Healthcare visit (other): Doctor care; treating angina with meds

2021-01-22

Systemic reaction (other): GI angioedema flare, on steroids

Healthcare visit (other): Doctor ofgice

2021-01-23

Healthcare visit (other): Doctor visit + Rx

2021-01-24

Systemic reaction (other): Still with symptoms to allergic reaction Covid vaccine Angioedema Possible glycol induced in vaccine

Healthcare visit (other): Office immunologist

Release 2 — day 7, dose 1

2021-01-26

Healthcare visit (other): Dr visit started Xolair injection

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	Angina pectoris	✓	✓	✓
HCVO	Medical counselling	○	○	○
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SRO	Angioedema	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hypersensitivity	·	·	✓
SRO	Office visit	✓	✓	○
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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