2W4-31401-53589

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 088 / NJ
Registered: 2021-01-28

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-28
Registered in v-safe
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Enlarged uvula, Hypersensitivity, Pharyngeal erythema — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Red throat and elongated uvula. I was sent to the ER yesterday after the second shot. I had an allergic reaction and got administed epi.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Enlarged uvula, Pharyngeal erythema, Rash, Urticaria — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Red throat, elongated and swollen uvula. Rash on chest and hives on arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Free text: Rash on chest. Face and neck very red and itchy. Took benadryl and pepcid and zyrtec

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Rash on chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Ocular hyperaemia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right eye is bloodshot irritated and burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 28, dose 2
MedDRA: Dry eye, Eye irritation, Ocular hyperaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Very bad dry eye in both eyes. Optometry said i am not producing any tears. Eyes very irritated and red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Call 1 — Could Not Reach Participant
2021-05-24
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Foot fracture, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Broken bones in feet. · Healthcare visit (other): In person podiatrist visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Red throat and elongated uvula. I was sent to the ER yesterday after the second shot. I had an allergic reaction and got administed epi.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Red throat, elongated and swollen uvula. Rash on chest and hives on arms.

2021-01-30

Systemic reaction (other): Rash on chest. Face and neck very red and itchy. Took benadryl and pepcid and zyrtec

2021-01-31

Systemic reaction (other): Rash on chest

2021-02-02

Systemic reaction (other): Right eye is bloodshot irritated and burning

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Very bad dry eye in both eyes. Optometry said i am not producing any tears. Eyes very irritated and red.

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Broken bones in feet.

Healthcare visit (other): In person podiatrist visits

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	✓	·	✓
SD	Dry eye	✓	✓	✓
SD	Eye irritation	✓	✓	✓
SD	Foot fracture	✓	·	✓
SD	Ocular hyperaemia	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Enlarged uvula	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pharyngeal erythema	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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