35J-30765-49868
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 945 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Pfizer-BioNTech
-
2021-01-14
Registered in v-safe
- 2021-01-14
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Arthralgia, Ear pain, Neck pain, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Had an earache, left side. Same side as shot. Also neck and shoulder pain on the same side. Started 5 days after shot. Now gone after 3 days. Didnt really think of it as a side effect at the time. · Healthcare visit (other): Was given abx for possible ear infection, but pain went away after a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-25
Dose 2 — Pfizer-BioNTech
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-01
- 2021-02-08
- 2021-02-17
- 2021-02-22
- 2021-03-03
- 2021-03-08
- 2021-03-23
- 2021-04-26
-
2021-07-26
Survey response — 6 months, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headaches daily in the morning, on the right side of my head for the last 2 weeks. Gone by the afternoonsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-16
Dose 3 — Pfizer-BioNTech
-
2022-01-25
Survey response — 12 months, dose 2MedDRA: Pruritus, Rash, Rash erythematous, Rash papular, Rash pruritic — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A few weeks after the booster, a Rash developed over upper chest raised, red and extremely itchy. Face itchy but no rash. This lasted 2-3 weeks. Was told it was caused by the sun. Which is odd because I'm always in the sun and use a 30 to 50 spf.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-26
-
2022-10-20
Dose 4 — Pfizer-BioNTech
-
2022-10-27
Survey response — day 7, dose 4MedDRA: Rash, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itchy Rash on neck and chest. Occurred last time tooMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
-
2022-11-10
Survey response — day 21, dose 4MedDRA: Rash, Rash pruritic, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Itchy rash on face and neck. Similar to last year weeks after booster. I didn't really correlate that with the shot last year. Unless the weather has something to do with it.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-19
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Pfizer-BioNTech | |
| 2 | 2021-01-25 | Pfizer-BioNTech | |
| 3 | 2021-10-16 | Pfizer-BioNTech | No |
| 4 | 2022-10-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Had an earache, left side. Same side as shot. Also neck and shoulder pain on the same side. Started 5 days after shot. Now gone after 3 days. Didnt really think of it as a side effect at the time.
Healthcare visit (other): Was given abx for possible ear infection, but pain went away after a few days.
Release 9 — 6 months, dose 2
Symptoms: Headaches daily in the morning, on the right side of my head for the last 2 weeks. Gone by the afternoons
Release 11 — 12 months, dose 2
Symptoms: A few weeks after the booster, a Rash developed over upper chest raised, red and extremely itchy. Face itchy but no rash. This lasted 2-3 weeks. Was told it was caused by the sun. Which is odd because I'm always in the sun and use a 30 to 50 spf.
Release 12 — day 7, dose 4
Systemic reaction (other): Itchy Rash on neck and chest. Occurred last time too
Release 12 — day 21, dose 4
Symptoms: Itchy rash on face and neck. Similar to last year weeks after booster. I didn't really correlate that with the shot last year. Unless the weather has something to do with it.
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 | Pain | ✓ | · | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rash papular | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release