329-28196-54441
2 vaccinations
4 coded responses
5 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 787 / TX
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Dose 2 — Pfizer-BioNTech
-
2021-04-30
Registered in v-safe
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2021-05-02
Survey response — day 21, dose 2MedDRA: Condition aggravated, Hypersensitivity, Immediate post-injection reaction, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Had an allerguc reaction to 2nd vaccine 45 minutes after shot. Still a problem. Also have Celiac autoimmune disease. · Healthcare visit (other): Seeing an allergy immunologist dr this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-06
Survey response — day 28, dose 2MedDRA: Coeliac disease, Hypersensitivity, Office visit, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hives and welts, allergic reaction , Celiac Auto Immune Disease. · Healthcare visit (other): In office doc. AptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
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)
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2021-05-11
Survey response — day 35, dose 2MedDRA: Immediate post-injection reaction, Office visit, Pre-existing disease, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hives and welts 45 minutes after Pfizer 2nd Vaccine, also Celiac Auto Immune Disease. · Healthcare visit (other): Apt. W Allergy ImmunologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-20
Survey response — day 42, dose 2MedDRA: Office visit, Pre-existing disease, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Allergies. Still have hives and welts. Checking in w Celiac Doctor, dermatologist, allergy and immunologist. · Healthcare visit (other): Drs. OfficesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-12
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2022-04-15
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech |
Call center
4 call center cases
4 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Had an allerguc reaction to 2nd vaccine 45 minutes after shot. Still a problem. Also have Celiac autoimmune disease.
Healthcare visit (other): Seeing an allergy immunologist dr this week.
Release 8 — day 28, dose 2
Symptoms: Hives and welts, allergic reaction , Celiac Auto Immune Disease.
Healthcare visit (other): In office doc. Apt
Release 8 — day 35, dose 2
Symptoms: Hives and welts 45 minutes after Pfizer 2nd Vaccine, also Celiac Auto Immune Disease.
Healthcare visit (other): Apt. W Allergy Immunologist
Release 8 — day 42, dose 2
Symptoms: Allergies. Still have hives and welts. Checking in w Celiac Doctor, dermatologist, allergy and immunologist.
Healthcare visit (other): Drs. Offices
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 | Coeliac disease | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release