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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

  1. 2021-02-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-05
    Registered in v-safe
  3. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Office visit, Pruritus, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 benedryl
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 visit
    Free 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
  6. 2021-02-07
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-08
    Survey response — day 7, dose 1
    MedDRA: 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 visit
    Free 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 vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-08
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-15
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-02-22
    Survey response — day 21, dose 1
    MedDRA: 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 professional
    Free 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 19
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-22
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-01
    Survey response — day 28, dose 1
    MedDRA: Emergency care, Hypotension, Immunisation reaction, Transient ischaemic attack — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free 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 emergency
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-01
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-03-03
    Dose 2 — Pfizer-BioNTech
  15. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  17. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Pfizer-BioNTech
22021-03-03Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-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

2021-02-05

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)

2021-02-07

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

2021-02-08

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

2021-02-22

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

2021-03-01

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDHypotension ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDTransient ischaemic attack ✓ ✓ ✓
SROArthralgia · · ✓
SROHypersensitivity ✓ ✓ ✓
SROOffice visit · · ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ○
SRORash pruritic · · ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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