Y3B-16180-05441
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 495 / MI
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Dose 1 — Pfizer-BioNTech
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2021-04-06
Registered in v-safe
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2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling, Itching · Fever · Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Pharyngeal swelling — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Throat still swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Pharyngeal swelling — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Throat still swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
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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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations, Pharyngeal swelling — Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Throat still swollen, heart still racing. Both symptoms better today then yesterday. Took Benadryl last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Palpitations, Pharyngeal swelling, Self-medication — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: Still tired, throat swollen, heart pounding but all not as bad as yesterday. Took Benadryl again last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Pharyngeal swelling, Sensation of foreign body — Feeling: Good · Site: SwellingFree text: Throat still swollen, feels more like a big lump in my throat now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 7, dose 1MedDRA: Palpitations, Sensation of foreign body — Feeling: Fair · Site: Swelling · Fatigue or tirednessFree text: Still feels like lump in throat. Forgot to take Benadryl last night. Heart feels like it is racing at times. Will take Benadryl tonight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2022-01-07
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-08 | Successful 2022-01-07 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Throat still swollen
Systemic reaction (other): Throat still swollen
Systemic reaction (other): Throat still swollen, heart still racing. Both symptoms better today then yesterday. Took Benadryl last night.
Systemic reaction (other): Still tired, throat swollen, heart pounding but all not as bad as yesterday. Took Benadryl again last night.
Systemic reaction (other): Throat still swollen, feels more like a big lump in my throat now.
Release 7 — day 7, dose 1
Systemic reaction (other): Still feels like lump in throat. Forgot to take Benadryl last night. Heart feels like it is racing at times. Will take Benadryl tonight.
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 |
|---|---|---|---|---|
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sensation of foreign body | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release