34X-18005-83006
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 042 / ME
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Pfizer-BioNTech
-
2021-02-16
Dose 2 — Pfizer-BioNTech
-
2021-02-20
Registered in v-safe
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Rash — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Prickly feeling when light touch to my skin in rash areasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Skin burning sensation — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: One place on my leg still hurts and burns to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Blister, Herpes zoster, Pain, Rash — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Have more rash and blisters that have gone around my waist to above my butt. Very painfull. Do you think this is from the covid shot. We know that its shingles we have looked symptoms up on line.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 7, dose 2MedDRA: Herpes zoster, Office visit — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Went to the doctors Tuesday I have the shingles.Could that be from the 2nd Corona shot ? The doctor said probably not but from stress.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
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2021-03-17
Survey response — day 28, dose 2MedDRA: Diarrhoea, Gallbladder disorder, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think I had a gall bladder attack. Vomiting diarrhea and pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 35, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Office visit, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Vomiting stomacn pain diarrhea. May be gall bladder. Had a cat scan yesterday. · Healthcare visit (other): Dr (b)(6) officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
- 2021-08-19
- 2022-03-08
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Prickly feeling when light touch to my skin in rash areas
Systemic reaction (other): One place on my leg still hurts and burns to the touch.
Systemic reaction (other): Have more rash and blisters that have gone around my waist to above my butt. Very painfull. Do you think this is from the covid shot. We know that its shingles we have looked symptoms up on line.
Release 4 — day 7, dose 2
Systemic reaction (other): Went to the doctors Tuesday I have the shingles.Could that be from the 2nd Corona shot ? The doctor said probably not but from stress.
Release 5 — day 28, dose 2
Symptoms: I think I had a gall bladder attack. Vomiting diarrhea and pain.
Release 6 — day 35, dose 2
Symptoms: Vomiting stomacn pain diarrhea. May be gall bladder. Had a cat scan yesterday.
Healthcare visit (other): Dr (b)(6) office
redacted (b)(6)
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gallbladder disorder | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release