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ZCQ-15197-08182

3 vaccinations 3 coded responses 8 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
038 / NH
Registered
2021-04-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-02
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-05
    Registered in v-safe
  4. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysphagia, Emergency care, Fatigue, Immunisation reaction, Lip swelling, Office visit, Pharyngeal swelling, Pruritus, Rash, Self-medication, Swelling face — Feeling: Fair
    Free text: I was given the second injection on Friday at 2 PM. A little bit before 6 PM I broke into a full body rash with swelling in the face and throat. Trouble swallowing, but no difficulty breathing. Took two Benadryl and sat in a look warm baking soda bath, which slowed I stopped the reaction, but did not reverse it. Went to urgent care, was given an epiPen injection, but not steroids so as not to interfere with the effect of the vaccine. Taken to emergency room for observation, Released to her three hours later as rash was receding and swelling diminishing. The next morning, the rash was almost completely gone, with only some swelling of my lips noticeable. Continued to take and a drill to out the day, some fatigue, and minor itchiness. The onset of the reaction, once it began,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Hypersensitivity, Self-medication — Feeling: Good
    Free text: Allergic reaction to single dose of extra strength Tylenol (following allergic reaction to second Pfizer vaccination).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-10-03
    Survey response — 6 months, dose 2
    MedDRA: Hypersensitivity, Self-medication — Feeling: Good
    Free text: After allergic reaction to the second vaccine, have experienced at least one other allergic reaction, probably Single dose of extra strength Tylenol
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-04-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2022-04-22
    Dose 3 — Pfizer-BioNTech
  12. 2022-04-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Pfizer-BioNTech
22021-04-02Pfizer-BioNTech
32022-04-22Pfizer-BioNTech No

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): I was given the second injection on Friday at 2 PM. A little bit before 6 PM I broke into a full body rash with swelling in the face and throat. Trouble swallowing, but no difficulty breathing. Took two Benadryl and sat in a look warm baking soda bath, which slowed I stopped the reaction, but did not reverse it. Went to urgent care, was given an epiPen injection, but not steroids so as not to interfere with the effect of the vaccine. Taken to emergency room for observation, Released to her three hours later as rash was receding and swelling diminishing. The next morning, the rash was almost completely gone, with only some swelling of my lips noticeable. Continued to take and a drill to out the day, some fatigue, and minor itchiness. The onset of the reaction, once it began,

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Allergic reaction to single dose of extra strength Tylenol (following allergic reaction to second Pfizer vaccination).

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: After allergic reaction to the second vaccine, have experienced at least one other allergic reaction, probably Single dose of extra strength Tylenol

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
SDHypersensitivity ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SRODysphagia ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓

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