593-91653-72326
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 641 / MO
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-15
Dose 1 — Pfizer-BioNTech
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2021-05-06
Registered in v-safe
-
2021-05-06
Dose 2 — Pfizer-BioNTech
- 2021-05-06
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-11
- 2021-05-12
- 2021-05-13
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2021-05-20
Survey response — day 14, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Flair up of my chronic hives. I have been well managed until the last 2 weeks or so. Breaking out in hives wvery night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-27
Survey response — day 21, dose 2MedDRA: Nausea, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe nausea. Increase in hives.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — day 28, dose 2MedDRA: Hypersensitivity, Pre-existing disease, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Chronic hives continue to increase. Difficulty maintaining allergy controlMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-12
- 2021-06-17
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2021-08-05
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chronic hives continue to get worse, have had to start Xolair injections to try to help, but doubt this is vaccine relatedMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-09
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2021-08-09
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-06 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-20 | Successful | Participant prefers to complete VAERS report online |
| 2021-06-03 | Successful | Participant prefers to complete VAERS report online |
| 2021-08-05 | Successful 2021-08-09 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — day 14, dose 2
Symptoms: Flair up of my chronic hives. I have been well managed until the last 2 weeks or so. Breaking out in hives wvery night.
Release 8 — day 21, dose 2
Symptoms: Severe nausea. Increase in hives.
Release 8 — day 28, dose 2
Symptoms: Chronic hives continue to increase. Difficulty maintaining allergy control
Release 9 — 3 months, dose 2
Symptoms: Chronic hives continue to get worse, have had to start Xolair injections to try to help, but doubt this is vaccine related
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release