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4YV-13159-57283

1 vaccination 5 coded responses 16 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
730 / OK
Registered
2020-12-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-17
    Registered in v-safe
  2. 2020-12-17
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2020-12-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection site
    Free text: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Pruritus, Self-medication, Throat irritation, Urticaria — Feeling: Fair · Site: Swelling · Joint pains, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Itching, coughing · Healthcare visit (other): I am an ER physician and am working today. My co-attending prescribed dexamethasone as I suddenly developed a cough and abnormal sensation in my throat. This improved after taking Claritin and the dexamethasone (as did my hives)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-20
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2020-12-22
  11. 2020-12-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2020-12-23
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  13. 2020-12-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  14. 2020-12-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-01-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-01-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-01-21
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-01-28
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  19. 2021-03-18
    Survey response — 3 months, dose 1
    MedDRA: Dermatitis atopic — Feeling: Fair
    Free text: Atopic dermatitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-17
    Survey response — 6 months, dose 1
    MedDRA: Eczema eyelids, Urticaria — Feeling: Good
    Free text: Eyelid and neck dermatitis due to either contact or food allergy that I have not had previously. Random hives.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-12-17
    Survey response — 12 months, dose 1
    MedDRA: Condition aggravated, Dermatitis contact, Pre-existing disease, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Facial, neck and hand rash for months. Diagnosed by allergist as Allergic contact dermatitis related to my PEG allergy.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-17
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2021-12-21
  24. 2021-12-21
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

DoseDateManufacturerCo-administered
12020-12-17Pfizer-BioNTech

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): Itching

2020-12-20

Systemic reaction (other): Itching, coughing
Healthcare visit (other): I am an ER physician and am working today. My co-attending prescribed dexamethasone as I suddenly developed a cough and abnormal sensation in my throat. This improved after taking Claritin and the dexamethasone (as did my hives)

Release 5 — 3 months, dose 1

2021-03-18

Symptoms: Atopic dermatitis

Release 9 — 6 months, dose 1

2021-06-17

Symptoms: Eyelid and neck dermatitis due to either contact or food allergy that I have not had previously. Random hives.

Release 10 — 12 months, dose 1

2021-12-17

Symptoms: Facial, neck and hand rash for months. Diagnosed by allergist as Allergic contact dermatitis related to my PEG allergy.

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

FieldPreferred term2021-092023-042024-11
HCVOCough ✓ ✓ ✓
HCVOSelf-medication ✓ ✓ ✓
HCVOSensory disturbance ○ ○ ○
HCVOThroat irritation ✓ ✓ ✓
HCVOUrticaria ✓ ✓ ✓
SDCondition aggravated · · ✓
SDDermatitis atopic ✓ ✓ ✓
SDDermatitis contact · · ✓
SDEczema eyelids ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRash · · ✓
SDUrticaria ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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