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2RR-23711-08419

2 vaccinations 3 coded responses 9 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
857 / AZ
Registered
2021-04-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-05
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-10
    Registered in v-safe
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster, Rash, Rash vesicular — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: After my 2nd does next day I developed a rash with blisters on my left side underneath my bra band towards part of my back. Very painful. I developed Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion, Discomfort, Herpes zoster, Paraesthesia — Feeling: Poor · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Still feeling discomfort. Taking Valacyclovir 3x a day for Shingles which were developed on the day of the 2nd vaccine. I was fine in the morning and earlier in the afternoon. After vaccine I had a bruise arm and tingling in my upper left should which the shingles were starting to form.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-12
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: The same
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Pfizer-BioNTech
22021-04-05Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): After my 2nd does next day I developed a rash with blisters on my left side underneath my bra band towards part of my back. Very painful. I developed Shingles

2021-04-11

Systemic reaction (other): Still feeling discomfort. Taking Valacyclovir 3x a day for Shingles which were developed on the day of the 2nd vaccine. I was fine in the morning and earlier in the afternoon. After vaccine I had a bruise arm and tingling in my upper left should which the shingles were starting to form.

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): The same

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
SROContusion ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROHerpes zoster ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash vesicular ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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