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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

  1. 2021-03-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-06
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-30
    Registered in v-safe
  4. 2021-05-02
    Survey response — day 21, dose 2
    MedDRA: 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 consultation
    Free 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
  5. 2021-05-02
    Report sent to call center — day 21, dose 2
    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)
  6. 2021-05-06
    Survey response — day 28, dose 2
    MedDRA: Coeliac disease, Hypersensitivity, Office visit, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Hives and welts, allergic reaction , Celiac Auto Immune Disease. · Healthcare visit (other): In office doc. Apt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-06
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-05-11
    Survey response — day 35, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Hives and welts 45 minutes after Pfizer 2nd Vaccine, also Celiac Auto Immune Disease. · Healthcare visit (other): Apt. W Allergy Immunologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-11
    Report sent to call center — day 35, dose 2
    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)
  10. 2021-05-20
    Survey response — day 42, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Allergies. Still have hives and welts. Checking in w Celiac Doctor, dermatologist, allergy and immunologist. · Healthcare visit (other): Drs. Offices
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-20
    Report sent to call center — day 42, dose 2
    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)
  12. 2022-04-12
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  13. 2022-04-15
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Pfizer-BioNTech
22021-04-06Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-05-02

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

2021-05-06

Symptoms: Hives and welts, allergic reaction , Celiac Auto Immune Disease.
Healthcare visit (other): In office doc. Apt

Release 8 — day 35, dose 2

2021-05-11

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

2021-05-20

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDCoeliac disease ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓

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