Y99-14221-84054
3 vaccinations
5 coded responses
26 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 080 / NJ
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-13
Dose 2 — Pfizer-BioNTech
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Injection site swelled to golf ball size, red, and painful. Limited ROM by affected extremity. Improving 36 hrs post-injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort, Injection site erythema, Injection site swelling — Feeling: Good · Site: Pain, RednessFree text: Swelling from yesterday markedly decreased at injection site. Site remains red with mild discomfort; nothing like the day before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: Redness, ItchingFree text: Itchiness much improved over past 24 hrs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Survey response — day 28, dose 2MedDRA: Pruritus, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Generalized, all over body itching for past 2 weeks. Worsening in 2nd week to the point of taking Benadryl and prednisone for relief.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-20
Survey response — day 35, dose 2MedDRA: Pruritus, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Generalized, overall itchiness has returned. Back to taking Benadryl and prednisone for relief.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-27
- 2021-05-15
- 2021-08-14
-
2021-11-06
Dose 3 — Pfizer-BioNTech
- 2021-12-21
- 2022-02-13
- 2022-05-07
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-11-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-13 | Unsuccessful | |
| 2021-03-20 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site swelled to golf ball size, red, and painful. Limited ROM by affected extremity. Improving 36 hrs post-injection.
Systemic reaction (other): Swelling from yesterday markedly decreased at injection site. Site remains red with mild discomfort; nothing like the day before.
Systemic reaction (other): Itchiness much improved over past 24 hrs.
Release 5 — day 28, dose 2
Symptoms: Generalized, all over body itching for past 2 weeks. Worsening in 2nd week to the point of taking Benadryl and prednisone for relief.
Release 6 — day 35, dose 2
Symptoms: Generalized, overall itchiness has returned. Back to taking Benadryl and prednisone for relief.
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 |
|---|---|---|---|---|
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release