54B-22575-87545
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 281 / NC
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-08
Dose 1 — Pfizer-BioNTech
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2021-01-27
Registered in v-safe
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2021-01-27
Survey response — day 14, dose 1MedDRA: Decreased appetite, Lip swelling, Office visit, Rash, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have hives and lost appetite 2wks after the 1st vaccine. Had hives on my neck, arms, underarm stomach and puff lower lip. Not sure if is vaccine related. · Healthcare visit (other): In person visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-29
Dose 2 — Pfizer-BioNTech
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Self-medication, Swelling of eyelid, Urticaria — Feeling: Fair · Site: Swelling, Itching · ChillsFree text: My inner right eye lid was itchy 11 hours after my 2nd vaccine and got pretty swollen eye lid. My neck and upper arm areas had hives. I took 2 25 mg Benadryl that night and the next morning rash gone but eyelid still swollen but not as bad as night before. I took 2 Benadryl again last night before l went to bed and theres no rash but eye lid still a bit swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-05
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2021-02-12
Survey response — day 14, dose 2MedDRA: Self-medication, Urticaria — Feeling: GoodFree text: On the 11th night after dinner l broke out with hives again on body. I took a Benadryl and the hives calmed down. On my 1st vaccine l broke out with hives on the 12th night after the vaccine. Not sure if related to the vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 21, dose 2MedDRA: Mouth swelling, Rash — Feeling: FairFree text: I had rash on 2/15 night after dinner and today after lunch both sides of my lower mouth got swollen. Thats wired because both times l ate food l had before with no problem. All the rash incidents happened after my vaccines. I took Zyrtec for rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 28, dose 2MedDRA: Rash — Feeling: FairFree text: Still break out with rash on and off after dinner at night. I will be seeing an allergy specialist in March.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Pfizer-BioNTech | |
| 2 | 2021-01-29 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: I have hives and lost appetite 2wks after the 1st vaccine. Had hives on my neck, arms, underarm stomach and puff lower lip. Not sure if is vaccine related.
Healthcare visit (other): In person visit
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): My inner right eye lid was itchy 11 hours after my 2nd vaccine and got pretty swollen eye lid. My neck and upper arm areas had hives. I took 2 25 mg Benadryl that night and the next morning rash gone but eyelid still swollen but not as bad as night before. I took 2 Benadryl again last night before l went to bed and theres no rash but eye lid still a bit swollen.
Release 4 — day 14, dose 2
Symptoms: On the 11th night after dinner l broke out with hives again on body. I took a Benadryl and the hives calmed down. On my 1st vaccine l broke out with hives on the 12th night after the vaccine. Not sure if related to the vaccine or not.
Release 4 — day 21, dose 2
Symptoms: I had rash on 2/15 night after dinner and today after lunch both sides of my lower mouth got swollen. Thats wired because both times l ate food l had before with no problem. All the rash incidents happened after my vaccines. I took Zyrtec for rash
Release 4 — day 28, dose 2
Symptoms: Still break out with rash on and off after dinner at night. I will be seeing an allergy specialist in March.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Lip swelling | ✓ | ✓ | ✓ |
| SD | Mouth swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release