ZQJ-33699-95726

1 vaccination 7 coded responses 9 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 605 / IL
Registered: 2021-05-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-05-18
Dose 1 — Pfizer-BioNTech
2021-05-19
Registered in v-safe
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Hypoaesthesia, Hypoaesthesia oral, Lip pruritus, Oropharyngeal pain, Periorbital swelling, Pruritus, Throat irritation — Feeling: Poor · Site: Pain · Joint pains · Be unable to work, Be unable to do your normal daily activities

Free text: Face and lips extremely numb and itchy, itchy and puffy eyes, throat itchy and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Hypoaesthesia oral, Periorbital swelling, Pruritus, Throat irritation — Feeling: Poor · Site: Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Puffy eyes, itchy face and throat, throat burns, numb lips, pressure on chest,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Hypoaesthesia, Hypoaesthesia oral, Rash, Skin burning sensation, Throat irritation — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Numb face & lips. Itchy throat. Burning red cheeks. Rash under chin and on arms and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 7, dose 1
MedDRA: Chest pain, Dizziness, Ocular discomfort, Pharyngeal paraesthesia, Throat irritation — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Burning and tingling in throat. Chest pains and dizzy. Eyes pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 14, dose 1
MedDRA: Fatigue, Hypoaesthesia, Hypoaesthesia oral, Nausea, Pharyngeal swelling, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Throat swelled. Face and lips numb. Rash on multiple parts of body. Nausea and severe fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Survey response — day 21, dose 1
MedDRA: Paraesthesia oral, Pharyngeal paraesthesia, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rashes & tingling throat and lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Survey response — day 28, dose 1
MedDRA: Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Radhes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 28, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-18	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-01	Unsuccessful
2021-06-08	Unsuccessful
2021-06-15	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-19

Systemic reaction (other): Face and lips extremely numb and itchy, itchy and puffy eyes, throat itchy and sore

2021-05-20

Systemic reaction (other): Puffy eyes, itchy face and throat, throat burns, numb lips, pressure on chest,

2021-05-24

Systemic reaction (other): Numb face & lips. Itchy throat. Burning red cheeks. Rash under chin and on arms and legs.

Release 8 — day 7, dose 1

2021-05-25

Systemic reaction (other): Burning and tingling in throat. Chest pains and dizzy. Eyes pressure.

Release 8 — day 14, dose 1

2021-06-01

Symptoms: Throat swelled. Face and lips numb. Rash on multiple parts of body. Nausea and severe fatigue.

Release 8 — day 21, dose 1

2021-06-08

Symptoms: Rashes & tingling throat and lips

Release 9 — day 28, dose 1

2021-06-15

Symptoms: Radhes

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	Fatigue	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Pharyngeal paraesthesia	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lip pruritus	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Pharyngeal paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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