37W-81056-57142
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 770 / TX
- Registered
- 2021-05-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-10
Registered in v-safe
-
2021-05-10
Dose 1 — Pfizer-BioNTech
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2021-05-10
Survey response — day 0, dose 1MedDRA: Anaphylactic reaction, Lip swelling, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: I live with anaphylaxis. Underneath my lip is slightly swollen but I consider this reaction mild and will probably take a little Benadryl tonight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: I have had slight swelling under my lips. I live with anaphylaxis and sometimes react to anything new.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-24
- 2021-05-31
-
2021-06-01
Dose 2 — Pfizer-BioNTech
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2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: The rash and itching is on my hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Abdominal painAdult check-in
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2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: I dont think the abdominal pain is related to the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-06-08
Survey response — day 7, dose 2MedDRA: Office visit — Feeling: Good · Diarrhea · Get care from a doctor or other healthcare professionalFree text: Im seeing my PCP at his office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-07-06
- 2021-07-13
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2021-09-02
Survey response — 3 months, dose 2MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever & chills for a day and a half.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 3 months, 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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2021-09-07
Call successfulDoes not wish to fill out VAERS report
- 2021-11-30
- 2022-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-10 | Pfizer-BioNTech | |
| 2 | 2021-06-01 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): I live with anaphylaxis. Underneath my lip is slightly swollen but I consider this reaction mild and will probably take a little Benadryl tonight.
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): I have had slight swelling under my lips. I live with anaphylaxis and sometimes react to anything new.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The rash and itching is on my hands.
Systemic reaction (other): I dont think the abdominal pain is related to the shot.
Release 8 — day 7, dose 2
Healthcare visit (other): Im seeing my PCP at his office.
Release 9 — 3 months, dose 2
Symptoms: Fever & chills for a day and a half.
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 | Chills | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Anaphylactic reaction | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release