5SJ-66126-31599
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 346 / FL
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Registered in v-safe
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Lip swelling, Office visit, Oral discomfort, Swelling, Swelling face, Swollen tongue, Tongue discomfort — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Face, lips, tongue & neck swelling & burning · Healthcare visit (other): In person visit with my PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Burning sensation, Erythema — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Face & neck are red and burning all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Chest discomfort, Erythema, Paraesthesia oral — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to work or attend schoolFree text: Tightness in my chest. Slight tingling & numbness in lips. Slight redness & burning of the face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Erythema, Oropharyngeal pain, Pharyngeal swelling, Throat irritation — Feeling: Fair · Headache, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Face, neck & chest redness, swelling & burning. Sore throat. Tight chest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Feeling jittery, Swelling face — Feeling: GoodFree text: Face burning & swelling is minimal today. Feel jittery but that may be from the Zytec I took this morning & steroid shot earlier this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — day 7, dose 1Feeling: Good · Headache, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-19
- 2021-05-19
- 2021-07-07
- 2021-10-06
- 2022-03-18
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2022-03-18
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Face, lips, tongue & neck swelling & burning
Healthcare visit (other): In person visit with my PCP
Systemic reaction (other): Face & neck are red and burning all day
Systemic reaction (other): Tightness in my chest. Slight tingling & numbness in lips. Slight redness & burning of the face.
Systemic reaction (other): Face, neck & chest redness, swelling & burning. Sore throat. Tight chest.
Systemic reaction (other): Face burning & swelling is minimal today. Feel jittery but that may be from the Zytec I took this morning & steroid shot earlier this week.
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 | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release