Y7S-25800-66828
1 vaccination
6 coded responses
11 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 067 / CT
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-01
Dose 1 — Pfizer-BioNTech
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2021-03-02
Registered in v-safe
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Dysphagia, Dysphonia, Emergency care, Hypersensitivity, Pruritus — Feeling: Poor · Site: Itching · Fever · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Yes · Healthcare visit (other): Allergic reaction day of vax. Started 2 hours after vax. By night time I found it harder to swallow so went to Er because I had used all my histamines. Dr added a different histamine , Pepcid and dexamethasone (a 3 day dose). I still used theMeds for today as I still had itching all over and hoarse all day because the difficulty of swallowing (no straider)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Pruritus — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Itching · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
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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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: FairFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: GoodFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
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2021-03-22
Survey response — day 21, dose 1MedDRA: Alopecia, Office visit, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increase hair falling out, still have spells of severe itching · Healthcare visit (other): Primary & dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-29
- 2021-05-31
- 2021-09-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-02 | Unsuccessful | |
| 2021-03-04 | Unsuccessful | |
| 2021-03-22 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Yes
Healthcare visit (other): Allergic reaction day of vax. Started 2 hours after vax. By night time I found it harder to swallow so went to Er because I had used all my histamines. Dr added a different histamine , Pepcid and dexamethasone (a 3 day dose). I still used theMeds for today as I still had itching all over and hoarse all day because the difficulty of swallowing (no straider)
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Itching
Systemic reaction (other): Itching
Release 5 — day 7, dose 1
Systemic reaction (other): Itching
Release 6 — day 21, dose 1
Symptoms: Increase hair falling out, still have spells of severe itching
Healthcare visit (other): Primary & dermatologist
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 | Dysphagia | ✓ | ✓ | ✓ |
| HCVO | Dysphonia | ✓ | ✓ | ✓ |
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Hypersensitivity | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pruritus | ✓ | ✓ | ✓ |
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release