5MS-19268-98161
1 vaccination
5 coded responses
6 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 601 / IL
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2020-12-19
Dose 1 — Pfizer-BioNTech
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2021-01-03
Registered in v-safe
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2021-01-03
Survey response — day 14, dose 1MedDRA: Dermatitis allergic, Medical observation, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Skin allergies during 6 consecutive days, Urticaria · Healthcare visit (other): Occupational and Employee Health clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-09
Survey response — day 21, dose 1MedDRA: Pruritus, Rash, Skin warm, Urticaria — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Skin rash with hives at contact, warm rash areas and itchinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — day 21, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-16
Survey response — day 28, dose 1MedDRA: Angioedema, Pruritus, Urticaria — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Itchiness, hot welds, urticaria worsen at nighttime, Angioedema. Unable to stop intake of antihistaminesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-29
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2021-01-30
Survey response — day 42, dose 1MedDRA: Abdominal pain, Angioedema, Cough, Decubitus ulcer, Discomfort, Pain, Self-medication, Urticaria, Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Same conditions for the past 2 weeks. Urticaria, some Angioedema. Zyrtec I take daily. Abdomen cramps. Sore pressure and whizzing breathing at least once a day. Some cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-11
Callback requested for06:00P EST
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2021-03-20
Survey response — 3 months, dose 1MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Chronic urticaria · Healthcare visit (other): Allergist officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-19
- 2021-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — day 14, dose 1
Symptoms: Skin allergies during 6 consecutive days, Urticaria
Healthcare visit (other): Occupational and Employee Health clinic
Release 1 — day 21, dose 1
Symptoms: Skin rash with hives at contact, warm rash areas and itchiness
Release 2 — day 28, dose 1
Symptoms: Itchiness, hot welds, urticaria worsen at nighttime, Angioedema. Unable to stop intake of antihistamines
Release 3 — day 42, dose 1
Symptoms: Same conditions for the past 2 weeks. Urticaria, some Angioedema. Zyrtec I take daily. Abdomen cramps. Sore pressure and whizzing breathing at least once a day. Some cough.
Release 6 — 3 months, dose 1
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 | Medical observation | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Angioedema | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decubitus ulcer | ○ | ✓ | ○ |
| SD | Dermatitis allergic | ✓ | ✓ | ✓ |
| SD | Discomfort | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release