337-19105-73654
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 142 / NY
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
H4D-70461-33081
Child or adolescent in my care · Female · 2021-11-26
Timeline
-
2021-04-22
Registered in v-safe
-
2021-04-22
Dose 1 — Pfizer-BioNTech
- 2021-04-22
- 2021-04-23
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Injection site pain — Feeling: GoodFree text: The day after I received my shot, I did not select fatigue/tiredness as a symptom, but I definitely had those symptoms along with soreness/pain at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-05-06
-
2021-05-13
Dose 2 — Pfizer-BioNTech
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-17
- 2021-05-18
- 2021-05-22
-
2021-06-03
Survey response — day 21, dose 2MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had a rash develop on chest in between my first and second dose, lasting 4 weeks and still healing. Never had one like this before and unsure if related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-03
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-10
Survey response — day 28, dose 2MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Still have a rash on my chest, lasting a month and seeking medical care. · Healthcare visit (other): Going to dermatologist MondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-17
- 2021-11-13
-
2021-12-03
Dose 3 — Pfizer-BioNTech
- 2021-12-25
- 2022-01-02
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Pfizer-BioNTech | |
| 2 | 2021-05-13 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): The day after I received my shot, I did not select fatigue/tiredness as a symptom, but I definitely had those symptoms along with soreness/pain at the injection site.
Release 8 — day 21, dose 2
Symptoms: Had a rash develop on chest in between my first and second dose, lasting 4 weeks and still healing. Never had one like this before and unsure if related to vaccine.
Release 9 — day 28, dose 2
Symptoms: Still have a rash on my chest, lasting a month and seeking medical care.
Healthcare visit (other): Going to dermatologist Monday
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release