4S4-83060-45584
2 vaccinations
9 coded responses
20 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 139 / NY
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Dose 1 — Pfizer-BioNTech
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2021-02-06
Registered in v-safe
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-10
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2021-02-11
Survey response — day 7, dose 1MedDRA: Hypersensitivity, Mouth swelling, Swelling face — Feeling: FairFree text: Allergic reactions that consist of swelling of face and mouth began last night and have continued today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 14, dose 1MedDRA: Hypersensitivity — Feeling: Good · Be unable to do your normal daily activitiesFree text: I experienced more allergic reactions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Dose 2 — Pfizer-BioNTech
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2021-03-03
Survey response — day 0, dose 2MedDRA: Erythema, Lymphadenopathy, Swelling, Swelling face, Throat tightness — Feeling: Fair · Site: Pain · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling of face, lymph nodes, redness, tightness in throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 0, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Swelling face — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Swelling of faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Lip swelling, Swelling face — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Some swelling of face and lips.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Mouth swelling, Swelling face — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling of face and mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Swelling face — Feeling: GoodFree text: Some swelling of cheek and face periodically.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Allergic respiratory symptom, Lymphadenopathy — Feeling: GoodFree text: I had allergic symptoms that consisted of swelling of neck where lymph nodes are located.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-27
- 2021-04-07
- 2021-04-18
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2021-06-08
Survey response — 3 months, dose 2MedDRA: Hypersensitivity, Mouth swelling, Self-medication, Swelling face — Feeling: FairFree text: Did not have any allergic reactions for 2 months but now they are back again. I am experiencing one almost every day. Some swelling in cheek and mouth. Two Benadryl seem to take care of it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-06
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2022-01-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-03-03 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Allergic reactions that consist of swelling of face and mouth began last night and have continued today.
Release 4 — day 14, dose 1
Symptoms: I experienced more allergic reactions.
Release 5 — day 0, dose 2
Systemic reaction (other): Swelling of face, lymph nodes, redness, tightness in throat
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling of face
Systemic reaction (other): Some swelling of face and lips.
Systemic reaction (other): Swelling of face and mouth
Systemic reaction (other): Some swelling of cheek and face periodically.
Systemic reaction (other): I had allergic symptoms that consisted of swelling of neck where lymph nodes are located.
Release 8 — 3 months, dose 2
Symptoms: Did not have any allergic reactions for 2 months but now they are back again. I am experiencing one almost every day. Some swelling in cheek and mouth. Two Benadryl seem to take care of it.
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Mouth swelling | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SRO | Allergic respiratory symptom | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Mouth swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ○ | ✓ | ○ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release