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4D9-21497-00663

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
323 / FL
Registered
2021-01-29
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-19
    Dose 2 — Pfizer-BioNTech
  4. 2021-02-19
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Somnolence — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Lots of Sleepiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast discomfort, Lip swelling, Rash — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Rash, not including the immediate area around the injection site
    Free text: Rash on my face, around my eyes, swollen lips, and rash on my neck. I could also feel fluid like substance moving in both breast.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cheilitis, Rash, Swelling — Feeling: Fair · Site: Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Rash on and around neck, around eyes and lips swollen. They are rashes are attempting to dry out and the swelling is going down daily.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · Fever · None
    Adult check-in
  9. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-08-22
    Survey response — 6 months, dose 2
    MedDRA: Hypersensitivity, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: My body seemed to have developed a more aggressive allergic reaction to everything Im allergic to and thats listed on my allergy list. · Healthcare visit (other): Primary Care Doctor
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-22
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-12-13
  14. 2021-12-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Pfizer-BioNTech
22021-02-19Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Lots of Sleepiness

2021-02-22

Systemic reaction (other): Rash on my face, around my eyes, swollen lips, and rash on my neck. I could also feel fluid like substance moving in both breast.

2021-02-23

Systemic reaction (other): Rash on and around neck, around eyes and lips swollen. They are rashes are attempting to dry out and the swelling is going down daily.

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: My body seemed to have developed a more aggressive allergic reaction to everything Im allergic to and thats listed on my allergy list.
Healthcare visit (other): Primary Care Doctor

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 ✓ · ✓
SDHypersensitivity ✓ · ✓
SDPre-existing disease ✓ · ✓
SROBreast discomfort ✓ ✓ ✓
SROCheilitis ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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