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Z94-20832-42822

2 vaccinations 1 coded response 4 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
278 / NC
Registered
2021-06-02
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-05-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-02
    Registered in v-safe
  3. 2021-06-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-06-09
    Dose 2 — Pfizer-BioNTech
  5. 2021-06-09
    Survey response — day 0, dose 2
    MedDRA: Anaphylactic reaction — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Anaphylaxis Reaction to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-09
    Report sent to call center — day 0, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-06-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  8. 2021-06-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-06-11
  10. 2021-06-14

Vaccinations

DoseDateManufacturerCo-administered
12021-05-20Pfizer-BioNTech
22021-06-09Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-06-09 Unsuccessful

Free text

Release 9 — day 0, dose 2

2021-06-09

Systemic reaction (other): Anaphylaxis Reaction to vaccine

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
SROAnaphylactic reaction ✓ ✓ ✓

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

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