Y9F-11207-19358

1 vaccination 8 coded responses 9 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 970 / OR
Registered: 2021-05-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-07
Registered in v-safe
2021-05-07
Dose 1 — Pfizer-BioNTech
2021-05-07
Survey response — day 0, dose 1
MedDRA: Eye pruritus, Oral pruritus, Pruritus, Urticaria — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Itching in mouth, eyes, skin. Some hives.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continual hives over most of body - face, arms/hands, torso; dr prescribed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hives, everywhere previously reported plus around my chin/neck and inside my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
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)
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives continue all over my body. Fewer in my mouth and on my lips. Still itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Hives still appearing in same places. No worse no better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Eye swelling, Medical counselling, Oral pruritus, Peripheral swelling, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Hives still appearing on face, chest, arms, hands, legs, and feet. Some swelling around eyes and on fingers and toes. Itching in mouth but no obvious hives or breathing issues · Healthcare visit (other): Spoke to the patient care team at my drs office. Have an appt for Friday if not improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Hives, same as previous days. Fade for slightly longer with benedryl and Pepcid, but always come back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 7, dose 1
MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives still everywhere they have been for the last week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-28
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-07	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-08	Successful	Participant prefers to complete VAERS report online
2021-05-09	Successful	Participant prefers to complete VAERS report online
2021-05-10	Successful	Participant prefers to complete VAERS report online
2021-05-12	Successful	Participant prefers to complete VAERS report online
2021-05-14	Successful 2021-05-28	Participant prefers to complete VAERS report online

Free text

Release 8 — day 0, dose 1

2021-05-07

Systemic reaction (other): Itching in mouth, eyes, skin. Some hives.

Release 8 — days 1–6 daily, dose 1

2021-05-08

Systemic reaction (other): Continual hives over most of body - face, arms/hands, torso; dr prescribed

2021-05-09

Systemic reaction (other): Hives, everywhere previously reported plus around my chin/neck and inside my mouth

2021-05-10

Systemic reaction (other): Hives continue all over my body. Fewer in my mouth and on my lips. Still itchy.

2021-05-11

Systemic reaction (other): Hives still appearing in same places. No worse no better

2021-05-12

Systemic reaction (other): Hives still appearing on face, chest, arms, hands, legs, and feet. Some swelling around eyes and on fingers and toes. Itching in mouth but no obvious hives or breathing issues

Healthcare visit (other): Spoke to the patient care team at my drs office. Have an appt for Friday if not improving

2021-05-13

Systemic reaction (other): Hives, same as previous days. Fade for slightly longer with benedryl and Pepcid, but always come back

Release 8 — day 7, dose 1

2021-05-14

Systemic reaction (other): Hives still everywhere they have been for the last week

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	Medical counselling	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Oral pruritus	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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