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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

  1. 2021-01-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-16
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-20
    Registered in v-safe
  4. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Prickly feeling when light touch to my skin in rash areas
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity, Skin burning sensation — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  6. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blister, Herpes zoster, Pain, Rash — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free 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
  7. 2021-02-25
    Survey response — day 7, dose 2
    MedDRA: Herpes zoster, Office visit — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free 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
  8. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-17
    Survey response — day 28, dose 2
    MedDRA: Diarrhoea, Gallbladder disorder, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  11. 2021-03-24
    Survey response — day 35, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Vomiting stomacn pain diarrhea. May be gall bladder. Had a cat scan yesterday. · Healthcare visit (other): Dr (b)(6) office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-24
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-03-08
  16. 2022-03-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Pfizer-BioNTech
22021-02-16Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Prickly feeling when light touch to my skin in rash areas

2021-02-21

Systemic reaction (other): One place on my leg still hurts and burns to the touch.

2021-02-22

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

2021-02-25

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

2021-03-17

Symptoms: I think I had a gall bladder attack. Vomiting diarrhea and pain.

Release 6 — day 35, dose 2

2021-03-24

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDGallbladder disorder ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROBlister ✓ ✓ ✓
SROHerpes zoster ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSkin burning sensation ✓ ✓ ✓

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