4SK-19137-83073

2 vaccinations 8 coded responses 13 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 017 / MA
Registered: 2021-03-31

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Eye swelling, Mouth swelling, Respiratory tract congestion, Urticaria — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Hives all over body within 8 hours of injection; swelling inside mouth and in eyes; chest congestion and mild difficulty breathing; symptoms persisted about 24 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: Amnesia, Disorientation — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Mild disorientation and memory loss beginning a couple of days after first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 1
MedDRA: Headache, Malaise, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild but persistent hives on different parts of body, slight headache and general malaise, all of above persisting through second week post injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Survey response — day 0, dose 2
MedDRA: Urticaria — Feeling: Good · Fatigue or tiredness

Free text: Hives recurring sporadically since first Pfizer shot 3 weeks ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: Dizziness, intermittentall day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: hives on different parts of face and body, mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: hives on different parts of face and body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: hives on face, moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-02-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-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 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Hives all over body within 8 hours of injection; swelling inside mouth and in eyes; chest congestion and mild difficulty breathing; symptoms persisted about 24 hours

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Mild disorientation and memory loss beginning a couple of days after first shot.

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Mild but persistent hives on different parts of body, slight headache and general malaise, all of above persisting through second week post injection

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Hives recurring sporadically since first Pfizer shot 3 weeks ago.

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Dizziness, intermittentall day

2021-04-20

Systemic reaction (other): hives on different parts of face and body, mild

2021-04-21

Systemic reaction (other): hives on different parts of face and body

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): hives on face, moderate

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	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Amnesia	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Mouth swelling	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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