5JW-36801-38674
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 969
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Pfizer-BioNTech
-
2021-01-19
Dose 2 — Pfizer-BioNTech
-
2021-01-21
Registered in v-safe
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Emergency care, Flushing, Headache, Pharyngeal swelling, Self-medication, Swollen tongue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: 12 hours after the shot my tongue and throat began to swell. Since Tuesday night I have taken Benadryl every 4-6 hours, Prednisone, and Famotidine. It was scary enough that I spent 3 hours in the ER on Tuesday night. Tonight (Thursday) my chest and neck are very flushed. The joint pain and headache have gone away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Anaphylaxis treatment, Flushing, Oropharyngeal pain, Pharyngeal swelling, Swollen tongue — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: With the medication, the swelling stays down pretty well. My throat is sore on the left side. My chest is still flushed, but not my face. The ER doctor last night prescribed an epi pen last night so I'm not as worried about my throat or tongue swelling somuch that I can't breathe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Swollen tongue — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My throat seems better. My tongue continues to swell without taking benadryl. I have one more day of prescription meds. The headache is right in front of my ears - like they are stopped up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling jittery, Flushing — Feeling: Good · Joint painsFree text: My tongue has not swollen for the last two days. I still feel a little jittery and light headed. I am assuming its from the prednisone, which i finished taking yesterday. I could not report yesterday because the link would not connect. Flushed skin is almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: Good · HeadacheFree text: My tongue has remained normal, without swelling for several days now. That is a relief. I have finished my prescription medications. Only taking tylenol for headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
-
2021-02-16
Survey response — day 28, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: I'm not sure if this is a vaccine symptom or not. I have developed a sound in my ears that sounds like crickets chirping. It's not loud nor is it constant, but it's something new.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-04-21
-
2021-05-05
Call successfulCompleted over the phone
- 2022-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-19 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): 12 hours after the shot my tongue and throat began to swell. Since Tuesday night I have taken Benadryl every 4-6 hours, Prednisone, and Famotidine. It was scary enough that I spent 3 hours in the ER on Tuesday night. Tonight (Thursday) my chest and neck are very flushed. The joint pain and headache have gone away.
Systemic reaction (other): With the medication, the swelling stays down pretty well. My throat is sore on the left side. My chest is still flushed, but not my face. The ER doctor last night prescribed an epi pen last night so I'm not as worried about my throat or tongue swelling somuch that I can't breathe.
Systemic reaction (other): My throat seems better. My tongue continues to swell without taking benadryl. I have one more day of prescription meds. The headache is right in front of my ears - like they are stopped up.
Systemic reaction (other): My tongue has not swollen for the last two days. I still feel a little jittery and light headed. I am assuming its from the prednisone, which i finished taking yesterday. I could not report yesterday because the link would not connect. Flushed skin is almost gone.
Release 2 — day 7, dose 2
Systemic reaction (other): My tongue has remained normal, without swelling for several days now. That is a relief. I have finished my prescription medications. Only taking tylenol for headaches.
Release 4 — day 28, dose 2
Symptoms: I'm not sure if this is a vaccine symptom or not. I have developed a sound in my ears that sounds like crickets chirping. It's not loud nor is it constant, but it's something new.
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 | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Anaphylaxis treatment | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release