Y9P-38254-98137
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 490 / MI
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-12
Registered in v-safe
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2021-03-12
Survey response — day 7, dose 1MedDRA: Erythema, Medical counselling, Peripheral swelling — Feeling: Poor · Site: Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Face feels like its sunburned, very red. Hands and feet swollen · Healthcare visit (other): Seeing family physician as wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
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2021-03-28
Survey response — day 21, dose 1MedDRA: Hypoaesthesia oral, Immunisation reaction, Office visit, Peripheral swelling, Swelling face, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Had an allergic reaction to the vaccine. Doc suggest not getting the second dose. Hives, swelling in face hands and feet, numbness in mouth nose and lips. · Healthcare visit (other): Doctor visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
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2021-10-25
Call successfulParticipant prefers to complete VAERS report online
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2022-03-04
Survey response — 12 months, dose 1MedDRA: Office visit, Seizure — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a seizure episode · Healthcare visit (other): Visit with primaryMedDRA releases: 2024-11 · check-in free text available
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2022-03-04
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-12 | Successful | Participant prefers to complete VAERS report online |
| 2021-03-28 | Successful 2021-10-25 |
Participant prefers to complete VAERS report online |
| 2022-03-04 | Unsuccessful |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Face feels like its sunburned, very red. Hands and feet swollen
Healthcare visit (other): Seeing family physician as well
Release 6 — day 21, dose 1
Symptoms: Had an allergic reaction to the vaccine. Doc suggest not getting the second dose. Hives, swelling in face hands and feet, numbness in mouth nose and lips.
Healthcare visit (other): Doctor visits
Release 11 — 12 months, dose 1
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 | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Seizure | · | · | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release