372-47750-69103
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 952 / CA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
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2021-04-06
Dose 1 — Pfizer-BioNTech
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2021-04-06
Health check-in — day 0, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · Muscle or body achesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-13
- 2021-04-21
- 2021-04-27
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2021-05-04
Dose 2 — Pfizer-BioNTech
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site induration — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Hardness on injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Joint pains, Muscle or body achesAdult check-in
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-12
Health check-in — day 7, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-05-18
Survey response — day 14, dose 2MedDRA: Arthralgia, Injection site pruritus, Injection site rash, Myalgia — Feeling: FairFree text: Skin rash above injection site persists with itching. Joint & muscular pain also persist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — day 21, dose 2MedDRA: Injection site pruritus, Injection site rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Itching at site of injection. Persistent rash above the injection site. · Healthcare visit (other): PCP & Dermatologist appts in June & July, respectively.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-01
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2021-06-08
Survey response — day 35, dose 2MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Skin rashes · Healthcare visit (other): Scheduled appt July 20 with dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-15
Survey response — day 42, dose 2MedDRA: Asthenia, Fatigue, Injection site rash, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 1. Persistent skin rash above injection site2. Fatigue3. Weakened · Healthcare visit (other): Dermatologist appt. in JulyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
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2021-08-03
Survey response — 3 months, dose 2MedDRA: Actinic keratosis, Asthma, Office visit, Seborrhoeic keratosis, Skin lesion, Squamous cell carcinoma — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: #1) After 2nd vaccination of Pfizer, appearance of multiple skin lesions on arms, shins, face and hands of actinic keratoses (on arms), squamous cell carcinoma (on face) & seborrheic keratoses (all over body (mainly thighs & legs)#2) asthma · Healthcare visit (other): Appt w/dermatologist & pulmonologistMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-03
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-12
Call successfulCompleted over the phone
- 2021-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 4
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Hardness on injection site
Release 8 — day 14, dose 2
Symptoms: Skin rash above injection site persists with itching. Joint & muscular pain also persist.
Release 8 — day 21, dose 2
Symptoms: Itching at site of injection. Persistent rash above the injection site.
Healthcare visit (other): PCP & Dermatologist appts in June & July, respectively.
Release 8 — day 35, dose 2
Symptoms: Skin rashes
Healthcare visit (other): Scheduled appt July 20 with dermatologist
Release 9 — day 42, dose 2
Symptoms: 1. Persistent skin rash above injection site2. Fatigue3. Weakened
Healthcare visit (other): Dermatologist appt. in July
Release 9 — 3 months, dose 2
Symptoms: #1) After 2nd vaccination of Pfizer, appearance of multiple skin lesions on arms, shins, face and hands of actinic keratoses (on arms), squamous cell carcinoma (on face) & seborrheic keratoses (all over body (mainly thighs & legs)#2) asthma
Healthcare visit (other): Appt w/dermatologist & pulmonologist
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Actinic keratosis | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Seborrhoeic keratosis | ✓ | · | ✓ |
| SD | Skin lesion | ✓ | · | ✓ |
| SD | Squamous cell carcinoma | ✓ | · | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release