358-75019-63961
4 vaccinations
8 coded responses
45 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 212 / MD
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-01-14
Dose 1 — Pfizer-BioNTech
-
2021-01-19
Registered in v-safe
- 2021-01-19
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Not sure if related to the vaccine or maybe because of the cold weather...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Eczema, Rash — Feeling: FairFree text: Skin rushes, maybe eczema on my left leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Dose 2 — Pfizer-BioNTech
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection siteFree text: There are number of red spots or rushes showing from my both legs from foot ankles upwards on both legs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Rash develops on both legs, not sure if this has something to do with the vaccine. I not a professional to know sad to say...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: The rashes are increasingly in numbers. I am not sure if I need to see a dermatologist or another medical doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Rashes still present, I wonder if the vaccine cause it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: For today, I dont see some new rashes except the old rashes I had before...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: I might see a Dermatologist to check my rashes in given an opportunity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-26
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-03
-
2021-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-05
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-12-29
- 2022-04-01
-
2022-05-17
Dose 4 — Pfizer-BioNTech
- 2022-05-17
-
2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-08-16
- 2022-11-15
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-05-17 | Pfizer-BioNTech | No |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Not sure if related to the vaccine or maybe because of the cold weather...
Release 2 — day 14, dose 1
Symptoms: Skin rushes, maybe eczema on my left leg.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): There are number of red spots or rushes showing from my both legs from foot ankles upwards on both legs.
Systemic reaction (other): Rash develops on both legs, not sure if this has something to do with the vaccine. I not a professional to know sad to say...
Systemic reaction (other): The rashes are increasingly in numbers. I am not sure if I need to see a dermatologist or another medical doctor.
Systemic reaction (other): Rashes still present, I wonder if the vaccine cause it.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): For today, I dont see some new rashes except the old rashes I had before...
Release 4 — day 7, dose 2
Systemic reaction (other): I might see a Dermatologist to check my rashes in given an opportunity.
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 |
|---|---|---|---|---|
| SD | Eczema | ○ | ✓ | ○ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release