6JH-22569-53357

1 vaccination 8 coded responses 11 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 895 / NV
Registered: 2020-12-21

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral — Feeling: Fair · Headache

Free text: Very mild lips tingling, back of tongue, each side. Gone in 30 min.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lip swelling, Swollen tongue, Unevaluable event — Feeling: Fair · Site: Pain · Chills · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Lip and tongue swelling. Very mild, but a little concerning. Comes in waves, last 30 min to the second, the swelling gone. Any information on this?? How long will last? Will it get worse? Does it need to be treated??? · Healthcare visit (other): Call to pcp, no response. May go to ED.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-22
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Laryngeal oedema, Lip swelling, Swollen tongue — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intermittent mild swelling of lips tongue larnyx x 6 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lip swelling, Pharyngeal swelling, Swollen tongue — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very mild period swelling of lips, tonque and throat persist. Comes on quick, only last fir few minutes now. Am still on prednisone and antihistamines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-28
Survey response — day 7, dose 1
MedDRA: Swelling — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued very mild swelling, starts in the afternoon, very short lasting. Tapering prednisone. Any feedback on what others with anaphylactic reactions are experiencing, what to expect, would be helpfull.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Report sent to call center — day 7, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-04
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-04
Call successful
Participant prefers to complete VAERS report online
2021-01-04
Call successful
Participant prefers to complete VAERS report online
2021-01-04
Call successful
Participant prefers to complete VAERS report online
2021-01-04
Call successful
Participant prefers to complete VAERS report online
2021-01-11
Survey response — day 21, dose 1
MedDRA: Chills, Fatigue, Headache, Pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aches chills x days, day 14 & 15 after vaccine. Now, fatigue, slight headache off and on. Covid test 1/6, negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — day 28, dose 1
MedDRA: Fatigue, Neck pain — Feeling: Fair

Free text: Day 28, first day since vaccine with almost no symptom. Mild afternoon fatigue, better than previous days. One short ting of neck pain. No mental fuzziness. 3pm my time, hoping this nightmare is coming to an end.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-12-21
Survey response — 12 months, dose 1
MedDRA: Adverse food reaction, Lip swelling, Nausea, Swelling face, Throat tightness — Feeling: Fair

Free text: Since the first vaccine i now seem to have similar mimd symptoms when eating shrimp and a type of indian carrot dish- lip swelling, cheek swelling, throat tightening, with carrot dish only, immediate nausea.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech

Call center

5 call center cases

4 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-21

Systemic reaction (other): Very mild lips tingling, back of tongue, each side. Gone in 30 min.

Release 1 — days 1–6 daily, dose 1

2020-12-22

Systemic reaction (other): Lip and tongue swelling. Very mild, but a little concerning. Comes in waves, last 30 min to the second, the swelling gone. Any information on this?? How long will last? Will it get worse? Does it need to be treated???

Healthcare visit (other): Call to pcp, no response. May go to ED.

2020-12-26

Systemic reaction (other): Intermittent mild swelling of lips tongue larnyx x 6 days

2020-12-27

Systemic reaction (other): Very mild period swelling of lips, tonque and throat persist. Comes on quick, only last fir few minutes now. Am still on prednisone and antihistamines.

Release 1 — day 7, dose 1

2020-12-28

Systemic reaction (other): Continued very mild swelling, starts in the afternoon, very short lasting. Tapering prednisone. Any feedback on what others with anaphylactic reactions are experiencing, what to expect, would be helpfull.

Release 1 — day 21, dose 1

2021-01-11

Symptoms: Aches chills x days, day 14 & 15 after vaccine. Now, fatigue, slight headache off and on. Covid test 1/6, negative.

Release 2 — day 28, dose 1

2021-01-18

Symptoms: Day 28, first day since vaccine with almost no symptom. Mild afternoon fatigue, better than previous days. One short ting of neck pain. No mental fuzziness. 3pm my time, hoping this nightmare is coming to an end.

Release 10 — 12 months, dose 1

2021-12-21

Symptoms: Since the first vaccine i now seem to have similar mimd symptoms when eating shrimp and a type of indian carrot dish- lip swelling, cheek swelling, throat tightening, with carrot dish only, immediate nausea.

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	Unevaluable event	✓	✓	✓
SD	Adverse food reaction	·	·	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lip swelling	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Swelling face	·	·	✓
SD	Throat tightness	·	·	✓
SRO	Laryngeal oedema	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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