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3HX-33099-31678

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
197 / DE
Registered
2021-01-25
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-25
    Registered in v-safe
  3. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cheilitis, Lip pain, Swelling face — Feeling: Fair
    Free text: There is irritation, soreness and puffiness underneath my top lip. I woke up with it last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cheilitis — Feeling: Fair
    Free text: Irritation underneath top lip.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-24
    Dose 2 — Pfizer-BioNTech
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Survey response — day 21, dose 2
    MedDRA: Oral mucosal eruption, Rash — Feeling: Fair
    Free text: Rash around my mouth and on my head between my eyes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-24
    Survey response — day 28, dose 2
    MedDRA: Oral mucosal eruption, Rash — Feeling: Good
    Free text: I'm dealing with a rash around my mouth and on my forehead between my eyes. It will get better, then get worse. I'm using hydrocortisone on it but, it won't go away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-26
    Survey response — 3 months, dose 2
    MedDRA: Rash — Feeling: Fair
    Free text: I have a rash on my face, around my chin, more on the left side of my face than the right, and on my forehead, between my eyes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-24Pfizer-BioNTech
22021-02-24Pfizer-BioNTech

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): There is irritation, soreness and puffiness underneath my top lip. I woke up with it last night.

2021-01-28

Systemic reaction (other): Irritation underneath top lip.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Rash around my mouth and on my head between my eyes.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: I'm dealing with a rash around my mouth and on my forehead between my eyes. It will get better, then get worse. I'm using hydrocortisone on it but, it won't go away.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: I have a rash on my face, around my chin, more on the left side of my face than the right, and on my forehead, between my eyes.

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
SDOral mucosal eruption ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROCheilitis ✓ ✓ ✓
SROLip pain ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓

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