2DE-33780-06409
1 vaccination
4 coded responses
7 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 836 / ID
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-07
Registered in v-safe
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2021-04-07
Survey response — day 14, dose 1MedDRA: Anaphylaxis treatment, Emergency care, Hypersensitivity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: I had severe allergic reaction, received epi shot, admitted to ER, given IV meds and at home meds which had been extended for a month as still having allergic reactions. Seemingly getting better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-14
Survey response — day 21, dose 1MedDRA: Emergency care, Pain, Rash, Self-medication, Throat tightness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: In past week had 2x throat tightening & rash alleviated with Benadryl. Prescribed allergy meds has been extended for a month. Insides, heart although feeling like getting better in past week in pain. · Healthcare visit (other): ER follow up with doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-21
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2021-04-27
Survey response — day 35, dose 1MedDRA: Formication — Feeling: FairFree text: Yesterday feel8ng of ants all over.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — day 42, dose 1MedDRA: Formication — Feeling: FairFree text: Same as last week, had ant crawling feeling one time this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
- 2021-11-02
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2021-12-01
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 7 — day 14, dose 1
Symptoms: I had severe allergic reaction, received epi shot, admitted to ER, given IV meds and at home meds which had been extended for a month as still having allergic reactions. Seemingly getting better.
Release 7 — day 21, dose 1
Symptoms: In past week had 2x throat tightening & rash alleviated with Benadryl. Prescribed allergy meds has been extended for a month. Insides, heart although feeling like getting better in past week in pain.
Healthcare visit (other): ER follow up with doctor.
Release 8 — day 35, dose 1
Symptoms: Yesterday feel8ng of ants all over.
Release 8 — day 42, dose 1
Symptoms: Same as last week, had ant crawling feeling one time this week.
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Anaphylaxis treatment | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Formication | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release