KU2-33746-39734
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Pfizer-BioNTech
-
2021-01-12
Registered in v-safe
-
2021-01-12
Survey response — day 7, dose 1MedDRA: Dyspnoea, Eye swelling, Lip swelling, Sensation of foreign body — Feeling: Poor · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Swelling of eyes, and lips. Difficulty breathing due to sensation of a knot in throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-26
Dose 2 — Pfizer-BioNTech
- 2021-02-09
- 2021-02-23
- 2021-02-25
- 2021-03-04
- 2021-03-09
-
2021-03-13
Call successfulCompleted over the phone
- 2021-04-27
- 2021-07-27
-
2022-01-26
Survey response — 12 months, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Myalgia, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: COVID symptoms (sore throat, cough, shortness of breath, muscle pain, fatigue, fever)MedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Swelling of eyes, and lips. Difficulty breathing due to sensation of a knot in throat.
Release 11 — 12 months, dose 2
Symptoms: COVID symptoms (sore throat, cough, shortness of breath, muscle pain, fatigue, fever)
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Sensation of foreign body | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release