4FY-11620-04390
1 vaccination
3 coded responses
10 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 727 / AR
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Pfizer-BioNTech
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Emergency care, Fatigue, Hypersensitivity, Pharyngeal swelling — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had swelling of the back of the throat with shortness of breath all starting around 0220 this morning. I want to the ED and was treated for al allergic reaction. I was given a lot of Benadryl and steroid via IV. I was discharged after a few hours when most of my symptoms improved. Today I just has slight swelling to the throat and fatigue with slight set of the hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-06
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Dysphagia, Dyspnoea exertional, Pharyngeal swelling, Self-medication — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Shortness of breath with just mild exertion. Mild swelling in throat still, still difficult to swallow solid foods but manageable. · Healthcare visit (other): Given RX of prednisone and OTC Benadryl 50mg q4h prnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Dyspnoea exertional — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Shortness of breath, more on exertionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-19
- 2021-01-26
-
2021-02-10
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-02-16
- 2021-04-06
- 2021-07-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I had swelling of the back of the throat with shortness of breath all starting around 0220 this morning. I want to the ED and was treated for al allergic reaction. I was given a lot of Benadryl and steroid via IV. I was discharged after a few hours when most of my symptoms improved. Today I just has slight swelling to the throat and fatigue with slight set of the hands.
Systemic reaction (other): Shortness of breath with just mild exertion. Mild swelling in throat still, still difficult to swallow solid foods but manageable.
Healthcare visit (other): Given RX of prednisone and OTC Benadryl 50mg q4h prn
Systemic reaction (other): Shortness of breath, more on exertion
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 | Self-medication | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ○ | ○ | ○ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release