Z2D-28726-90029
3 vaccinations
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 681 / NE
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-28
Dose 1 — Pfizer-BioNTech
-
2021-02-03
Registered in v-safe
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Eye irritation, Immediate post-injection reaction, Lethargy, Paraesthesia oral, Urticaria — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: On the 4th day after the shot my tongue began tingling and sensitive on the right side, I got hives inside my mouth on the right side, my eye became irritated on the right side and my face tingled on the right side. This lasted around 3 hours. This happened towards early evening, but the entire day I felt very unusual. I was lightheaded and lethargic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 14, dose 1MedDRA: Eye disorder, Gingival disorder, Hypoaesthesia oral, Lip disorder, Oral mucosal eruption, Paraesthesia, Paraesthesia oral, Urticaria — Feeling: GoodFree text: Tingling and numb tongue on the right side, bumps inside cheek and lip on the right side, right eye bothersome, right cheek tingling, and a hive by right temple.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Dose 2 — Pfizer-BioNTech
- 2021-02-18
- 2021-02-20
- 2021-02-22
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Good · Site: ItchingFree text: Hives mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-05
-
2021-03-20
Survey response — day 28, dose 2MedDRA: Cold sweat, Dizziness, Office visit, Skin mass — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Knot in chest, cold sweat, light headed · Healthcare visit (other): Dr officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-20
Dose 3 — Pfizer-BioNTech
-
2021-12-28
Call successfulCompleted over the phone
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-12-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-20 | Successful 2021-12-28 |
Completed over the phone |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): On the 4th day after the shot my tongue began tingling and sensitive on the right side, I got hives inside my mouth on the right side, my eye became irritated on the right side and my face tingled on the right side. This lasted around 3 hours. This happened towards early evening, but the entire day I felt very unusual. I was lightheaded and lethargic.
Release 4 — day 14, dose 1
Symptoms: Tingling and numb tongue on the right side, bumps inside cheek and lip on the right side, right eye bothersome, right cheek tingling, and a hive by right temple.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Hives mild
Release 6 — day 28, dose 2
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Cold sweat | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Eye disorder | ✓ | · | ✓ |
| SD | Gingival disorder | ○ | ✓ | ○ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Lip disorder | ✓ | ✓ | ✓ |
| SD | Oral mucosal eruption | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia oral | ✓ | · | ✓ |
| SD | Skin mass | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release