3JX-17501-66745
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Dose 1 — Pfizer-BioNTech
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2021-02-04
Registered in v-safe
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2021-02-04
Survey response — day 7, dose 1MedDRA: Peripheral swelling, Rash — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: On day 7 after vacc, (day 35 after Covid) erythematous rash and swelling hands & feet. No systemic signs. Is this a post Covid rash OR is it post vacc reaction in someone who HAD COVID? I am a physician.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 14, dose 1MedDRA: Peripheral swelling, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Reported on Wednesday; rash/hand & feet swelling 7 days AFTER vaccination. Lasted 7 days. Am I in the system twice as I got message on Wednesday for weekly report?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-13
Dose 2 — Pfizer-BioNTech
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-15
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Upper respiratory tract infection — Feeling: FairFree text: Caught a head cold/URI from my grandkidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea, Upper respiratory tract infection — Feeling: FairFree text: Still have a URI with nasal dischargeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Head cold (unrelated to vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Upper respiratory tract infection — Feeling: GoodFree text: Resolving URIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — day 7, dose 2MedDRA: Upper respiratory tract infection — Feeling: GoodFree text: Resolving coincidental URIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-07-30
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2021-08-10
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-08-14
- 2022-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): On day 7 after vacc, (day 35 after Covid) erythematous rash and swelling hands & feet. No systemic signs. Is this a post Covid rash OR is it post vacc reaction in someone who HAD COVID? I am a physician.
Release 4 — day 14, dose 1
Symptoms: Reported on Wednesday; rash/hand & feet swelling 7 days AFTER vaccination. Lasted 7 days. Am I in the system twice as I got message on Wednesday for weekly report?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Caught a head cold/URI from my grandkids
Systemic reaction (other): Still have a URI with nasal discharge
Systemic reaction (other): Head cold (unrelated to vaccine)
Systemic reaction (other): Resolving URI
Release 4 — day 7, dose 2
Systemic reaction (other): Resolving coincidental URI
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 | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Upper respiratory tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release