Z38-15067-81620 · OpenVSafe

Timeline

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Survey response — day 0, dose 1
MedDRA: Dry mouth, Flushing, Hypersensitivity, Pre-existing disease, Self-medication, Syncope, Throat tightness — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Allergic reaction - initially felt flushed and faint and had dry mouth, which I figured was normal or related to my history of panic attacks. Took an antihistamine before feeling my throat start to tighten and then went to hospital in case I needed epinephrine. Currently on fluids and might not even need epi pen. Also I think my anxiety disorder may have caused a psychosomatic reaction rather than the vaccine itself.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-05
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-11
Call 1 — Could Not Reach Participant
2021-10-14
Call 2 — Left Voicemail
2022-03-07
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-07	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-07

Systemic reaction (other): Allergic reaction - initially felt flushed and faint and had dry mouth, which I figured was normal or related to my history of panic attacks. Took an antihistamine before feeling my throat start to tighten and then went to hospital in case I needed epinephrine. Currently on fluids and might not even need epi pen. Also I think my anxiety disorder may have caused a psychosomatic reaction rather than the vaccine itself.

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
SRO	Dry mouth	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Syncope	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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