46Z-13492-36291
4 vaccinations
3 coded responses
23 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 462 / IN
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Pfizer-BioNTech
-
2021-02-04
Dose 2 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Site: Pain · Chills, Muscle or body achesFree text: Hard to know if aches more than usual, but maybe a littleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I am not sure rash isnt overstateing it, but seems to be the only way to put in this comment. One side of face had a couple itchy spots- no idea if related to vaccine. The week after the first shot I got some mystery spots on my body that didnt itch. I didnt know if they were caused by the vaccine- waiting to see if I get new ones next week. Dermatologist thought possible from vaccine but that there were other things it could be.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-07
-
2021-09-24
Dose 3 — Pfizer-BioNTech
- 2022-02-04
-
2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-21
- 2022-04-25
- 2022-05-04
-
2022-05-09
Survey response — day 35, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Cold symptoms but Covid test negative and visiting grandsons who were getting over colds. Everyone has tested negative, so really not relevant, but thought I should answer accurately.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-07-04
- 2022-10-03
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Hard to know if aches more than usual, but maybe a little
Systemic reaction (other): I am not sure rash isnt overstateing it, but seems to be the only way to put in this comment. One side of face had a couple itchy spots- no idea if related to vaccine. The week after the first shot I got some mystery spots on my body that didnt itch. I didnt know if they were caused by the vaccine- waiting to see if I get new ones next week. Dermatologist thought possible from vaccine but that there were other things it could be.
Release 11 — day 35, dose 4
Symptoms: Cold symptoms but Covid test negative and visiting grandsons who were getting over colds. Everyone has tested negative, so really not relevant, but thought I should answer accurately.
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 | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release