Z4A-12670-44355
5 vaccinations
4 coded responses
38 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-03-27
Dose 2 — Pfizer-BioNTech
-
2021-03-27
Health check-in — day 0, dose 2Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
-
2021-03-27
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Chapped lips, Emergency care, Lip dry, Lip swelling, Rash, Symptom recurrence — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): In addition to rash early in day yesterday, had swelling in upper lip region last night. Otherwise felt fine. ED doc not sure if due to vaccine or a medication or dry badly chapped lip since 3/22. · Healthcare visit (other): Only went to ED last night b/c had been there earlier and was instructed to return if new symptom appearedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Lip swelling, Rash — Feeling: Good · ChillsFree text: Lip remains swollen. Rash from prednisone the ER administered,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: Good · FeverFree text: Face neck and chest flushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Stomatitis, Tongue ulceration — Feeling: Fair · Headache, Fatigue or tirednessFree text: Mouth/ tongue soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-27
-
2021-10-29
Dose 3 — Pfizer-BioNTech
-
2021-11-05
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-29
-
2022-05-13
Dose 4 — Pfizer-BioNTech
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-08-12
- 2022-11-11
-
2022-12-01
Dose 5 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
| 5 | 2022-12-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-27 | Successful | Participant prefers to complete VAERS report online |
| 2021-03-28 | Successful 2021-11-05 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): In addition to rash early in day yesterday, had swelling in upper lip region last night. Otherwise felt fine. ED doc not sure if due to vaccine or a medication or dry badly chapped lip since 3/22.
Healthcare visit (other): Only went to ED last night b/c had been there earlier and was instructed to return if new symptom appeared
Systemic reaction (other): Lip remains swollen. Rash from prednisone the ER administered,
Systemic reaction (other): Face neck and chest flushing
Systemic reaction (other): Mouth/ tongue sores
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 | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Symptom recurrence | ○ | ✓ | ○ |
| SRO | Chapped lips | ✓ | · | ✓ |
| SRO | Emergency care | ✓ | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Lip dry | ✓ | · | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Tongue ulceration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release