4SA-32749-99463
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 229 / VA
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-27
Registered in v-safe
-
2021-04-27
Dose 1 — Pfizer-BioNTech
- 2021-04-27
-
2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Paraesthesia — Feeling: Good · Site: Pain, ItchingFree text: Some muscle soreness/tingling on back of neck/trap on left side (had shot in left shoulder)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
-
2021-05-18
Dose 2 — Pfizer-BioNTech
- 2021-05-18
-
2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Peripheral swelling, Pruritus, Rash, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Small circular rashes appeared on inside of both knees and side of foot swelled a little (burning and itchy feeling) they went away (used hydrocortisone)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Peripheral swelling, Pruritus, Skin swelling — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Insides of both feet swelled near arch (puffy, burning, itching sensation) -- comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Ocular hyperaemia, Tongue ulceration, Ulcer — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Ulcers on sides of tongue; eye ache and redness in left eye.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-23
-
2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot — Feeling: Fair · Fatigue or tirednessFree text: Feel warm but do not have fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Survey response — day 7, dose 2MedDRA: Injection site erythema, Injection site rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Red rash from injection site to wrist on left arm (just appeared). Warm to touch. Some redness on right forearm appeared around the same time, but not as pronounced (still warm).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-08-17
- 2021-11-18
- 2022-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-27 | Pfizer-BioNTech | |
| 2 | 2021-05-18 | Pfizer-BioNTech |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Some muscle soreness/tingling on back of neck/trap on left side (had shot in left shoulder)
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Small circular rashes appeared on inside of both knees and side of foot swelled a little (burning and itchy feeling) they went away (used hydrocortisone)
Systemic reaction (other): Insides of both feet swelled near arch (puffy, burning, itching sensation) -- comes and goes.
Systemic reaction (other): Ulcers on sides of tongue; eye ache and redness in left eye.
Systemic reaction (other): Feel warm but do not have fever.
Release 8 — day 7, dose 2
Systemic reaction (other): Red rash from injection site to wrist on left arm (just appeared). Warm to touch. Some redness on right forearm appeared around the same time, but not as pronounced (still warm).
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 |
|---|---|---|---|---|
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin swelling | ✓ | ✓ | ✓ |
| SRO | Tongue ulceration | · | · | ✓ |
| SRO | Ulcer | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release