59E-18737-55130

4 vaccinations 6 coded responses 23 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 972 / OR
Registered: 2021-03-18

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-15
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Acne, Rash, Rash papular, Urticaria — Feeling: Good · Site: Itching

Free text: I have these pimple like eruptions here and there on my wrist, hands, side of face. They almost look like hives, they are smallish and i have had something like it before. There aren't a lot of them, maybe 8 all together but i dont know how to tell if they might be an allergic reaction to my vaccine. I think one might have appeared before the vaccine, but I'm not certain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling, Peripheral swelling, Rash pustular, Swelling face — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: As described yesterday. Rash is more like raised pustules here and there with groupings of 3-5 raised bumps on both inner wrists, outer lower left leg, on two fingers of my lwft hand and both sudes of my face clise to my hairline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Still have the itchy eruptions on leg, hands, fingers and face. I am waiting to see a dermatologist next week to figure out what it is and to rule out a reaction to the vaccine. It doesn't cover my body but its very itchy and ugly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 1
MedDRA: Headache, Nausea, Rash — Feeling: Good · Headache, Nausea, Rash, not including the immediate area around the injection site

Free text: Funny headache in the middle of my forehead, woke up with mild nausea, same rash/eruptions in a few spots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Survey response — day 28, dose 4
MedDRA: Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Fair

Free text: I tested positive for Covid with a PCR test I have mild symptoms- mild sore throat, tiredness and a mild headache that comes and goes

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-04
Survey response — 12 months, dose 4
MedDRA: Fatigue, Headache, Office visit, Oropharyngeal pain, Productive cough, Respiratory disorder — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-04
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No
4	2022-04-04	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): I have these pimple like eruptions here and there on my wrist, hands, side of face. They almost look like hives, they are smallish and i have had something like it before. There aren't a lot of them, maybe 8 all together but i dont know how to tell if they might be an allergic reaction to my vaccine. I think one might have appeared before the vaccine, but I'm not certain

2021-03-19

Systemic reaction (other): As described yesterday. Rash is more like raised pustules here and there with groupings of 3-5 raised bumps on both inner wrists, outer lower left leg, on two fingers of my lwft hand and both sudes of my face clise to my hairline

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Still have the itchy eruptions on leg, hands, fingers and face. I am waiting to see a dermatologist next week to figure out what it is and to rule out a reaction to the vaccine. It doesn't cover my body but its very itchy and ugly.

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Funny headache in the middle of my forehead, woke up with mild nausea, same rash/eruptions in a few spots

Release 11 — day 28, dose 4

2022-05-02

Symptoms: I tested positive for Covid with a PCR test I have mild symptoms- mild sore throat, tiredness and a mild headache that comes and goes

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	Office visit	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Acne	✓	·	✓
SRO	Headache	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash papular	○	✓	○
SRO	Rash pustular	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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