3MX-16083-10878
3 vaccinations
7 coded responses
35 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 295 / SC
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Pfizer-BioNTech
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
-
2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Pruritus, Rash, Rash erythematous, Rash papular — Feeling: GoodFree text: Itchy skin with mild red raised rash on upper chest (8 days after vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Feeling abnormal, Rash, Rash papular, Rash pruritic, Scar, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Not entirely new, but the papular itchy chest rash I developed one week after 2nd shot has not gone away, still itches, and us keaving some scarring. Its very weird · Healthcare visit (other): Derm appt was going to be end of May so I didn't make it bc assumed rash would be gone by then. Now I'm not so sure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: One swollen lymph node above clavicle on the same side as the injection. Not red or tender.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still have 1cm supraclavicular node enlargedMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still one SCL lymph node. Might be larger. But not tender or red.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: No change in solitary scl lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-11
- 2021-10-18
-
2021-10-27
Survey response — day 28, dose 3MedDRA: Malaise, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Low grade fever and general malaise 10/25.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-04-12
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 14, dose 2
Symptoms: Itchy skin with mild red raised rash on upper chest (8 days after vaccine)
Release 8 — 3 months, dose 2
Symptoms: Not entirely new, but the papular itchy chest rash I developed one week after 2nd shot has not gone away, still itches, and us keaving some scarring. Its very weird
Healthcare visit (other): Derm appt was going to be end of May so I didn't make it bc assumed rash would be gone by then. Now I'm not so sure.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): One swollen lymph node above clavicle on the same side as the injection. Not red or tender.
Systemic reaction (other): Still have 1cm supraclavicular node enlarged
Systemic reaction (other): Still one SCL lymph node. Might be larger. But not tender or red.
Release 9 — day 7, dose 3
Systemic reaction (other): No change in solitary scl lymph node
Release 10 — day 28, dose 3
Symptoms: Low grade fever and general malaise 10/25.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Scar | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release