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4EQ-33156-31706

3 vaccinations 6 coded responses 13 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
750 / TX
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
JW4-41862-36273 Child or adolescent in my care · Female · 2021-11-11
PL9-30652-84732 Child or adolescent in my care · Female · 2021-11-11

Timeline

  1. 2021-02-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-01
    Dose 2 — Pfizer-BioNTech
  3. 2021-03-03
    Registered in v-safe
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Numbness in lips, face, head, 30 mins after vaccination was administered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash — Feeling: Good · Fatigue or tiredness
    Free text: Slight rash on knuckles. Some itching/burning where rash is. Hardly noticeable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Ear pain, Paranasal sinus discomfort, Pruritus, Rash, Rash pruritic — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Ear ache, sinus pressure. Mild rash on hands 2 nights ago, with burning and itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Paranasal sinus discomfort, Rash, Rhinorrhoea, Throat irritation, Tremor — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Free text: Light headed/dizziness, scratchy throat, runny nose, sinus pressure, rash on face (started last night), shaky hands.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash on face still. Mild. Hardly noticeable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-08
    Survey response — day 7, dose 1
    MedDRA: Rash, Respiratory tract congestion, Throat irritation — Feeling: Good · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Scratchy throat. Congestion. Still have a mild rash on face. Hardly noticeable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-11-26
    Dose 3 — Moderna
  12. 2021-12-03
    Health check-in — day 7, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-12-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Pfizer-BioNTech
22021-03-01Pfizer-BioNTech
32021-11-26Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Numbness in lips, face, head, 30 mins after vaccination was administered.

2021-03-04

Systemic reaction (other): Slight rash on knuckles. Some itching/burning where rash is. Hardly noticeable.

2021-03-05

Systemic reaction (other): Ear ache, sinus pressure. Mild rash on hands 2 nights ago, with burning and itching.

2021-03-06

Systemic reaction (other): Light headed/dizziness, scratchy throat, runny nose, sinus pressure, rash on face (started last night), shaky hands.

2021-03-07

Systemic reaction (other): Rash on face still. Mild. Hardly noticeable.

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): Scratchy throat. Congestion. Still have a mild rash on face. Hardly noticeable.

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
SROBurning sensation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ · ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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