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
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Pfizer-BioNTech
-
2021-01-07
Survey response — day 0, dose 1MedDRA: Pharyngeal swelling — Feeling: Fair · Site: PainFree text: throat swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Pharyngeal swelling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: throat swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-07-08
Survey response — 6 months, dose 1MedDRA: 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 visitFree text: Symptoms: Monica has died · Healthcare visit (other): She died at the hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-08
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): throat swelling
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): throat swelling
Release 9 — 6 months, dose 1
Reports this person's death
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Death | ✓ | ✓ | ✓ |
| SD | Death | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release