4HX-31406-18379
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 926 / CA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Pfizer-BioNTech
-
2021-02-25
Survey response — day 0, dose 1MedDRA: Dizziness, Dyspnoea, Heart rate increased, Hypersensitivity, Immediate post-injection reaction, Medical observation, Pharyngeal swelling, Secretion discharge, Self-medication — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: I had an allergic reaction to the vaccine immediately after I received it. I had severe throat swelling, throat mucus, trouble breathing, dizziness, rapid heart rate. I was given two Benadryls by the pharmacist technician who administered my vaccine. Th e symptoms went away after one hour of waiting at the clinic. I am not allergic to any medicines, and I have never had an allergic reaction in my life. I have received other vaccines and not had a reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-13
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-04-10
-
2021-09-25
Survey response — 6 months, dose 2MedDRA: Chills, Malaise, Migraine, Myalgia, Nausea, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Today I am sick. I have very sore throat, chills, sinus pressure, migraine, nausea, muscle aches. Ive had symptoms for about 3 days.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): I had an allergic reaction to the vaccine immediately after I received it. I had severe throat swelling, throat mucus, trouble breathing, dizziness, rapid heart rate. I was given two Benadryls by the pharmacist technician who administered my vaccine. Th e symptoms went away after one hour of waiting at the clinic. I am not allergic to any medicines, and I have never had an allergic reaction in my life. I have received other vaccines and not had a reaction
Release 9 — 6 months, dose 2
Symptoms: Today I am sick. I have very sore throat, chills, sinus pressure, migraine, nausea, muscle aches. Ive had symptoms for about 3 days.
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 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Secretion discharge | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release