Y23-59404-05785
1 vaccination
4 coded responses
9 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 630 / MO
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-02-26
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: No nothing so farMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-02
- 2021-03-03
-
2021-03-07
Survey response — day 7, dose 1MedDRA: Rash — Feeling: FairFree text: A few bumps popped up about 4 in different areas. Like a insect biteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
-
2021-05-28
Survey response — 3 months, dose 1MedDRA: Office visit, Palatal swelling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had a lump come up in the roof of my mouth. Dentist gave me antibiotics it took those and use a mouth rinse for a week. He doesnt know what it is now Im going to a periodontist to see if he knows. Two teeth are Ted around the gum , no infecti · Healthcare visit (other): Dentist officesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
-
2022-02-26
Survey response — 12 months, dose 1MedDRA: Hypertension, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: My blood pressure went very high. I don't think this had anything to do with my shots. My carelessness. No taking medicine.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-28 | Unsuccessful | |
| 2022-02-26 | Unsuccessful |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): No nothing so far
Release 5 — day 7, dose 1
Systemic reaction (other): A few bumps popped up about 4 in different areas. Like a insect bite
Release 8 — 3 months, dose 1
Symptoms: I had a lump come up in the roof of my mouth. Dentist gave me antibiotics it took those and use a mouth rinse for a week. He doesnt know what it is now Im going to a periodontist to see if he knows. Two teeth are Ted around the gum , no infecti
Healthcare visit (other): Dentist offices
Release 11 — 12 months, dose 1
Symptoms: My blood pressure went very high. I don't think this had anything to do with my shots. My carelessness. No taking medicine.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Palatal swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release