2CL-16964-99137
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 582 / ND
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Pfizer-BioNTech
-
2021-01-01
Registered in v-safe
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-04
Survey response — day 7, dose 1MedDRA: Headache, Medical observation, Nausea, Office visit, Paraesthesia oral, Pruritus, Pyrexia, Skin burning sensation, Throat irritation — Feeling: Fair · Fever · Nausea, Rash, not including the immediate area around the injection siteFree text: Had nausea, tingling lips, itchy throat, then all over itchy burning skin on immediately following initial dose. Fever next day. Treated with kenalog, prednisone, and Benadryl in urgent care. Fine until day 5: itchiness, headache, feverish returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
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2021-01-18
Dose 2 — Pfizer-BioNTech
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2021-01-18
Survey response — day 0, dose 2MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Had severe itching with first dose. Took prednisone and Allegra before shot. Only mild symptoms this time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Pneumonia aspiration, Vomiting — Feeling: Good · Fever · Fatigue or tirednessFree text: Vomiting on the first night caused aspiration pneumonia, on antibiotics. All is goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-04-19
- 2021-07-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Had nausea, tingling lips, itchy throat, then all over itchy burning skin on immediately following initial dose. Fever next day. Treated with kenalog, prednisone, and Benadryl in urgent care. Fine until day 5: itchiness, headache, feverish returned.
Release 2 — day 0, dose 2
Systemic reaction (other): Had severe itching with first dose. Took prednisone and Allegra before shot. Only mild symptoms this time.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Systemic reaction (other): Vomiting on the first night caused aspiration pneumonia, on antibiotics. All is good
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pneumonia aspiration | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release