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
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Pfizer-BioNTech
-
2021-02-19
Dose 2 — Pfizer-BioNTech
- 2021-02-19
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Lots of SleepinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Breast discomfort, Lip swelling, Rash — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Rash, not including the immediate area around the injection siteFree 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
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: 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 siteFree 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
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2021-02-26
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Itching · Fever · NoneAdult check-in
- 2021-03-19
- 2021-04-02
-
2021-08-22
Survey response — 6 months, dose 2MedDRA: Hypersensitivity, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree 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 DoctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-22
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-13
- 2021-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lots of Sleepiness
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.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Breast discomfort | ✓ | ✓ | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release