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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

  1. 2021-06-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-30
    Dose 2 — Pfizer-BioNTech
  3. 2021-07-10
    Dose 3 — Pfizer-BioNTech
  4. 2022-10-24
    Dose 4 — Pfizer-BioNTech
  5. 2022-10-25
    Registered in v-safe
  6. 2022-10-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: 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 consultation
    Free 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 medication
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-10-25
    Report sent to call center — days 1–6 daily, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  8. 2022-10-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: 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 school
    Adult check-in
  9. 2022-10-26
  10. 2022-10-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness
    Free text: Light headed
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-10-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness
    Free text: Light headed still but not as much as the previous days.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-10-30
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness
    Free text: A little light headed but I'm back to 90 percent
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-10-31
    Health check-in — day 7, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2022-11-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-11-14
    Survey response — day 21, dose 4
    MedDRA: Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free 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
  16. 2022-11-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  17. 2022-11-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  18. 2022-12-05
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  19. 2023-01-23
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  20. 2023-04-24
    Survey response — 6 months, dose 4
    MedDRA: Dizziness, Dyspnoea — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-06-19Pfizer-BioNTech No
22021-06-30Pfizer-BioNTech No
32021-07-10Pfizer-BioNTech No
42022-10-24Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 4

2022-10-25

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

2022-10-27

Systemic reaction (other): Light headed

2022-10-28

Systemic reaction (other): Light headed still but not as much as the previous days.

2022-10-30

Systemic reaction (other): A little light headed but I'm back to 90 percent

Release 12 — day 21, dose 4

2022-11-14

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

FieldPreferred term2021-092023-042024-11
SDDizziness · · ✓
SDDyspnoea · · ✓
SDRash · · ✓
SRODizziness · · ✓
SROOffice visit · · ✓
SRORash · · ✓
SRORash pruritic · · ✓

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