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
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Dose 2 — Pfizer-BioNTech
-
2021-04-05
Registered in v-safe
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Dysphagia, Emergency care, Fatigue, Immunisation reaction, Lip swelling, Office visit, Pharyngeal swelling, Pruritus, Rash, Self-medication, Swelling face — Feeling: FairFree 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
- 2021-04-06
- 2021-04-08
- 2021-04-11
-
2021-07-02
Survey response — 3 months, dose 2MedDRA: Hypersensitivity, Self-medication — Feeling: GoodFree 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
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2021-10-03
Survey response — 6 months, dose 2MedDRA: Hypersensitivity, Self-medication — Feeling: GoodFree text: After allergic reaction to the second vaccine, have experienced at least one other allergic reaction, probably Single dose of extra strength TylenolMedDRA releases: 2024-11 · check-in free text available
- 2022-04-02
-
2022-04-22
Dose 3 — Pfizer-BioNTech
- 2022-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2022-04-22 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 2
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
Symptoms: Allergic reaction to single dose of extra strength Tylenol (following allergic reaction to second Pfizer vaccination).
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release