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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

  1. 2021-01-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Eye irritation, Immediate post-injection reaction, Lethargy, Paraesthesia oral, Urticaria — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free 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
  4. 2021-02-14
    Survey response — day 14, dose 1
    MedDRA: Eye disorder, Gingival disorder, Hypoaesthesia oral, Lip disorder, Oral mucosal eruption, Paraesthesia, Paraesthesia oral, Urticaria — Feeling: Good
    Free 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
  5. 2021-02-18
    Dose 2 — Pfizer-BioNTech
  6. 2021-02-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urticaria — Feeling: Good · Site: Itching
    Free text: Hives mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-20
    Survey response — day 28, dose 2
    MedDRA: Cold sweat, Dizziness, Office visit, Skin mass — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Knot in chest, cold sweat, light headed · Healthcare visit (other): Dr office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-20
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-12-20
    Dose 3 — Pfizer-BioNTech
  15. 2021-12-28
    Call successful
    Completed over the phone
  16. 2022-12-20
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Pfizer-BioNTech
22021-02-18Pfizer-BioNTech
32021-12-20Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-20 Successful
2021-12-28
Completed over the phone

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

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

2021-02-14

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

2021-02-24

Systemic reaction (other): Hives mild

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Knot in chest, cold sweat, light headed
Healthcare visit (other): Dr office

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDCold sweat ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEye disorder ✓ · ✓
SDGingival disorder ○ ✓ ○
SDHypoaesthesia oral ✓ ✓ ✓
SDLip disorder ✓ ✓ ✓
SDOral mucosal eruption ✓ · ✓
SDParaesthesia ✓ ✓ ✓
SDParaesthesia oral ✓ · ✓
SDSkin mass ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEye irritation ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLethargy ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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