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572-29348-35651

4 vaccinations 7 coded responses 38 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
214 / MD
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Not much visible rash, but Very itchy ski,, especially lower legs. Moisturizers and cortisone don't help.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good
    Free text: Itching calves --feels like neuropathik rather than skin discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Survey response — day 14, dose 1
    MedDRA: Arthralgia — Feeling: Good
    Free text: I have some joint pain but I think it is related to the weather.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-11
    Dose 2 — Pfizer-BioNTech
  11. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Dyspepsia, Headache, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activities
    Free text: 2 days of headache and gastric distress similar to what I experienced after my second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-20
    Dose 3 — Pfizer-BioNTech
  19. 2021-10-01
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  20. 2021-10-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-10-11
    Survey response — day 21, dose 3
    MedDRA: Oral pruritus, Stomatitis, Tongue pruritus — Feeling: Good
    Free text: Itchy mouth and tongue. Sores on roof of mouth. Lasted about 5 days and is now almost resolved.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-20
    Survey response — day 28, dose 3
    MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Arthritis flare up
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-20
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-03-21
    Survey response — 6 months, dose 3
    MedDRA: Arthralgia, Osteoarthritis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Hip pain from osteoarthritis
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-21
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2022-03-23
  29. 2022-03-23
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-05-16
    Dose 4 — Moderna
  31. 2022-05-16
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-05-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  33. 2022-05-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  34. 2022-05-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  35. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-05-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-06-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-06-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-06-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-08-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-11-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  46. 2023-05-16
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Pfizer-BioNTech
22021-02-11Pfizer-BioNTech
32021-09-20Pfizer-BioNTech No
42022-05-16Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Not much visible rash, but Very itchy ski,, especially lower legs. Moisturizers and cortisone don't help.

2021-01-26

Systemic reaction (other): Itching calves --feels like neuropathik rather than skin discomfort

Release 3 — day 14, dose 1

2021-02-04

Symptoms: I have some joint pain but I think it is related to the weather.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: 2 days of headache and gastric distress similar to what I experienced after my second vaccine.

Release 10 — day 21, dose 3

2021-10-11

Symptoms: Itchy mouth and tongue. Sores on roof of mouth. Lasted about 5 days and is now almost resolved.

Release 10 — day 28, dose 3

2021-10-20

Symptoms: Arthritis flare up

Release 11 — 6 months, dose 3

2022-03-21

Symptoms: Hip pain from osteoarthritis

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
SDArthralgia ✓ ✓ ✓
SDArthritis · · ✓
SDDyspepsia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOral pruritus · · ✓
SDOsteoarthritis · · ✓
SDPre-existing disease · · ✓
SDStomatitis · · ✓
SDTongue pruritus · · ✓
SDVaccine positive rechallenge ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓

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