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
-
2020-12-17
Registered in v-safe
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2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-17
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2020-12-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: 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 professionalFree 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
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2020-12-20
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2020-12-21
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2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2020-12-22
- 2020-12-23
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2020-12-23
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2020-12-24
- 2020-12-31
- 2021-01-09
- 2021-01-16
- 2021-01-21
- 2021-01-28
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2021-03-18
Survey response — 3 months, dose 1MedDRA: Dermatitis atopic — Feeling: FairFree text: Atopic dermatitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — 6 months, dose 1MedDRA: Eczema eyelids, Urticaria — Feeling: GoodFree 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
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2021-12-17
Survey response — 12 months, dose 1MedDRA: 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 visitFree 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
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2021-12-17
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-21
-
2021-12-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | 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): Itching
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
Symptoms: Atopic dermatitis
Release 9 — 6 months, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Cough | ✓ | ✓ | ✓ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| HCVO | Sensory disturbance | ○ | ○ | ○ |
| HCVO | Throat irritation | ✓ | ✓ | ✓ |
| HCVO | Urticaria | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dermatitis atopic | ✓ | ✓ | ✓ |
| SD | Dermatitis contact | · | · | ✓ |
| SD | Eczema eyelids | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release