2JD-27915-97458
3 vaccinations
2 coded responses
32 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 009 / PR
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Pfizer-BioNTech
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Small pain where shot is .. only feel if you move arm up. Its a normal shot pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Pfizer-BioNTech
-
2021-02-15
Survey response — day 7, dose 2MedDRA: Rash, Rash pruritic, Skin exfoliation — Feeling: GoodFree text: Yes .. Weekend before my 2nd shot I broke out in a rash. I had gone to w as ok on the beach and put lotion on my shoulders , front , back and head. Rash was itchy and also my legs and arms started to peel . It was not sunburn because I had pants on walking on the beach. Today arms and legs still pealing and rash is all dried up and also starting to peel. I have no allergies so I going this very strangeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-24
- 2021-05-10
- 2021-08-09
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
- 2022-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Small pain where shot is .. only feel if you move arm up. Its a normal shot pain.
Release 4 — day 7, dose 2
Systemic reaction (other): Yes .. Weekend before my 2nd shot I broke out in a rash. I had gone to w as ok on the beach and put lotion on my shoulders , front , back and head. Rash was itchy and also my legs and arms started to peel . It was not sunburn because I had pants on walking on the beach. Today arms and legs still pealing and rash is all dried up and also starting to peel. I have no allergies so I going this very strange
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 |
|---|---|---|---|---|
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release