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6JD-30988-75580

1 vaccination 6 coded responses 10 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
585 / ND
Registered
2021-02-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-28
    Registered in v-safe
  3. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lip swelling, Peripheral swelling, Pruritus, Swelling face, Swollen tongue — Feeling: Good · Site: Pain · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Swelling of face, hands, lips, tongue, and feet with itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-28
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral swelling, Pruritus, Swelling face, Swollen tongue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swelling in face, hand, feet, and tongue. Mild itching. On medication from doctor to control sympathy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Feeling abnormal, Lip swelling, Peripheral swelling, Pruritus, Somnolence, Swelling face, Swollen tongue — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: Swelling of face, hands, feet, tongue, and lips; mild itchiness on face, hands, feet, and head. Symptoms are manageable with Prednisone, Famotidine, Hydroxyzine, and Zyrtec. I am tired, have brain fog, grogginess, and balance is off.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Feeling abnormal, Hypersensitivity — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Allergic reactions lessening. Able to take lower dosages of antihistamines to control symptoms. Continue to have brain fog and balance issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Balance disorder, Fatigue, Feeling abnormal, Somnolence, Swelling — Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still having grogginess, some brain fog, and tiredness. Swelling continues in same areas, but able to manage with medications. Still dont trust myself to drive or make any big decisions. Balance slowly improving, but still have to be careful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-18
    Survey response — day 21, dose 1
    MedDRA: Emergency care, Hypersensitivity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I had an allergic reaction that required attention at the ER.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-18
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-09-13
  15. 2022-02-27
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Swelling of face, hands, lips, tongue, and feet with itching

2021-03-01

Systemic reaction (other): Swelling in face, hand, feet, and tongue. Mild itching. On medication from doctor to control sympathy.

2021-03-02

Systemic reaction (other): Swelling of face, hands, feet, tongue, and lips; mild itchiness on face, hands, feet, and head. Symptoms are manageable with Prednisone, Famotidine, Hydroxyzine, and Zyrtec. I am tired, have brain fog, grogginess, and balance is off.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Allergic reactions lessening. Able to take lower dosages of antihistamines to control symptoms. Continue to have brain fog and balance issues

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Still having grogginess, some brain fog, and tiredness. Swelling continues in same areas, but able to manage with medications. Still dont trust myself to drive or make any big decisions. Balance slowly improving, but still have to be careful.

Release 5 — day 21, dose 1

2021-03-18

Symptoms: I had an allergic reaction that required attention at the ER.

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

FieldPreferred term2021-092023-042024-11
SDEmergency care ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release