384-23549-76445
4 vaccinations
6 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 480 / MI
- Registered
- 2022-10-25
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-19
Dose 1 — Pfizer-BioNTech
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2021-06-30
Dose 2 — Pfizer-BioNTech
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2021-07-10
Dose 3 — Pfizer-BioNTech
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2022-10-24
Dose 4 — Pfizer-BioNTech
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2022-10-25
Registered in v-safe
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2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: Office visit, Rash, Rash pruritic — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I woke up with a rash on my back stomach down both of my arms and legs. With severe itching i had to go to the doctor's for medicationMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — days 1–6 daily, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-10-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolAdult check-in
- 2022-10-26
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2022-10-27
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessFree text: Light headedMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: Light headed still but not as much as the previous days.MedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: A little light headed but I'm back to 90 percentMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-07
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2022-11-14
Survey response — day 21, dose 4MedDRA: Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I broke out in a rash again after it cleared up it came back a lot worse. I'm not sure if this time if it was from the vaccine or something else. But it felt similar.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2023-01-23
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2023-04-24
Survey response — 6 months, dose 4MedDRA: Dizziness, Dyspnoea — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-19 | Pfizer-BioNTech | No |
| 2 | 2021-06-30 | Pfizer-BioNTech | No |
| 3 | 2021-07-10 | Pfizer-BioNTech | No |
| 4 | 2022-10-24 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I woke up with a rash on my back stomach down both of my arms and legs. With severe itching i had to go to the doctor's for medication
Systemic reaction (other): Light headed
Systemic reaction (other): Light headed still but not as much as the previous days.
Systemic reaction (other): A little light headed but I'm back to 90 percent
Release 12 — day 21, dose 4
Symptoms: I broke out in a rash again after it cleared up it came back a lot worse. I'm not sure if this time if it was from the vaccine or something else. But it felt similar.
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 | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release