XZM-32615-25830
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
5 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 925 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Pruritus, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My dad (b)(6) started to complain about itching on his legs on Wed Feb 3 and has increasingly gotten worse itching all over his body. Had to start taking Benadryl today. · Healthcare visit (other): Called primary physicians office and was told by LVN to start taking benedrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Medical counselling, Pruritus — Feeling: Poor · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Allergic reaction of itching all over body on Feb 3, 2 days after injection. Had to take my dad to Urgent Care for evaluation. He also developed swelling in hands and ankles & feet. They ran blood tests and a chest X-ray. Gave him Decadron for swelling and Benedryl. They highly suspect it could be a reaction to the PFizer vaccine but cant be conclusive. Today, the itching has subsided but the swelling is quite prevalent. In addition, having pain in his arm/shoulder, same arm where injection was given but might not be related. If symptoms dont clear up we were told to go to ER. I will be taking him to his primary doctor or Urgent Care · Healthcare visit (other): Also called the on-call physician yesterday (Saturday)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-08
Survey response — day 7, dose 1MedDRA: Arthralgia, Office visit, Pruritus, Rash, Rash pruritic, Swelling, Wheezing — Feeling: Fair · Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: As indicated yesterday, my dad developed itching and a rash 2 days after the PFizer vaccine and from there developed swelling & some wheezing. Went to Urgent Care today as he developed severe shoulder pain and a rash, and still had swelling but itching had subsided. Be advised that my dad started taking Plavix on Jan 22 and had the vaccine on Feb 1. Neither Urgent Care PA or physician we saw today can conclude whether these symptoms are Plavix or the PFizer vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
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2021-02-22
Survey response — day 21, dose 1MedDRA: Immunisation reaction, Medical counselling, Office visit, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Feet are now swollen and left hand continues to be very painful. Medical PA & NP believe its from the allergic reaction caused by the PFizer vaccine. · Healthcare visit (other): Office visit on Friday Feb 19MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-01
Survey response — day 28, dose 1MedDRA: Emergency care, Hypotension, Immunisation reaction, Transient ischaemic attack — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Called 911 - it appeared dad might have had a TIA or the new medication gabapentin may have excessively lowered his blood pressure. We still question if the 1st PFizer vaccine of 2/1 caused the allergic reaction (2 days after on 2/3) · Healthcare visit (other): Called 911 and was taken to hospital emergencyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-03
Dose 2 — Pfizer-BioNTech
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-07-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-03-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-05 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-02-07 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-02-08 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-02-22 | Successful 2021-07-02 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-03-01 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My dad (b)(6) started to complain about itching on his legs on Wed Feb 3 and has increasingly gotten worse itching all over his body. Had to start taking Benadryl today.
Healthcare visit (other): Called primary physicians office and was told by LVN to start taking benedryl
redacted (b)(6)
Systemic reaction (other): Allergic reaction of itching all over body on Feb 3, 2 days after injection. Had to take my dad to Urgent Care for evaluation. He also developed swelling in hands and ankles & feet. They ran blood tests and a chest X-ray. Gave him Decadron for swelling and Benedryl. They highly suspect it could be a reaction to the PFizer vaccine but cant be conclusive. Today, the itching has subsided but the swelling is quite prevalent. In addition, having pain in his arm/shoulder, same arm where injection was given but might not be related. If symptoms dont clear up we were told to go to ER. I will be taking him to his primary doctor or Urgent Care
Healthcare visit (other): Also called the on-call physician yesterday (Saturday)
Release 3 — day 7, dose 1
Systemic reaction (other): As indicated yesterday, my dad developed itching and a rash 2 days after the PFizer vaccine and from there developed swelling & some wheezing. Went to Urgent Care today as he developed severe shoulder pain and a rash, and still had swelling but itching had subsided. Be advised that my dad started taking Plavix on Jan 22 and had the vaccine on Feb 1. Neither Urgent Care PA or physician we saw today can conclude whether these symptoms are Plavix or the PFizer vaccine
Release 4 — day 21, dose 1
Symptoms: Feet are now swollen and left hand continues to be very painful. Medical PA & NP believe its from the allergic reaction caused by the PFizer vaccine.
Healthcare visit (other): Office visit on Friday Feb 19
Release 4 — day 28, dose 1
Symptoms: Called 911 - it appeared dad might have had a TIA or the new medication gabapentin may have excessively lowered his blood pressure. We still question if the 1st PFizer vaccine of 2/1 caused the allergic reaction (2 days after on 2/3)
Healthcare visit (other): Called 911 and was taken to hospital emergency
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 | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Transient ischaemic attack | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ○ |
| SRO | Rash pruritic | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release