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8V9-21542-25143

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
761 / TX
Registered
2021-01-07
Relationship
Self
Race
N/A
Ethnicity
N/A
Died per free text

Timeline

  1. 2021-01-07
    Registered in v-safe
  2. 2021-01-07
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-07
    Survey response — day 0, dose 1
    MedDRA: Pharyngeal swelling — Feeling: Fair · Site: Pain
    Free text: throat swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pharyngeal swelling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: throat swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-09
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-07-08
    Survey response — 6 months, dose 1
    MedDRA: Death — Feeling: Poor · Be unable to work or attend school, 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: Symptoms: Monica has died · Healthcare visit (other): She died at the hospital
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-08
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  8. 2021-07-12

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Pfizer-BioNTech

Call center

2 call center cases

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): throat swelling

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): throat swelling

Release 9 — 6 months, dose 1

Reports this person's death

2021-07-08

Symptoms: Monica has died
Healthcare visit (other): She died at the hospital

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
HCVODeath ✓ ✓ ✓
SDDeath ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓

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