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5HW-64102-40337

6 vaccinations 11 coded responses 49 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
041 / ME
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Since I started this several days after my first vaccination, I didnt get to answer for Sat and Sunday when I did have symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Rash, Rash pruritic — Feeling: Good
    Free text: Itchy barely visible rash on limbs, chest, neck, lower back most of trunk. Have had for three days... way less itchy today. No change in temp. Not contact dermatitis- have rewatched laundry, etc. nothing new used or skin or eaten. No hives on palms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-25
    Dose 2 — Pfizer-BioNTech
  10. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  11. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  13. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  15. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-04-08
    Survey response — day 14, dose 2
    MedDRA: Mass, Oedema peripheral, Office visit, Pruritus — Feeling: Good
    Free text: In both armpits, have tender and itchy roundish masses...seem like swollen lymph nodes. My PCP thinks may be associated with the vaccination. If still there in a few weeks will be seen in the office.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-15
    Survey response — day 21, dose 2
    MedDRA: Lymphadenopathy, Rash, Rash pruritic, Urticaria — Feeling: Good
    Free text: Swollen lymph nodes under both arms and continued spread of tiny hive like rash things and a growing line of bigger hives from mid-chest up around one side of neck. Itchy on many parts of trunk and below kneecaps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-06
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Pruritus, Rash, Urticaria — Feeling: Good
    Free text: The rash just keeps going. Mostly the new hives are now reappearing in the same spots as before...mostly along the paths of the lymph nodes. Tired of the itchiness... but glad if it means my body reacts appropriately to being vaccinated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-10
    Dose 3 — Pfizer-BioNTech
  26. 2022-03-25
    Survey response — 12 months, dose 2
    MedDRA: Cough, Gastroenteritis viral, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: Stomache flu- not Covid- did home test and know who I picked it up from- also not Covid- entire family had PCR tests 6 weeks later had a cough, then runny/ stuffy nose- not Covid - tested again
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-04-15
    Dose 4 — Moderna
  28. 2022-04-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-04-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-11
    Survey response — day 21, dose 4
    MedDRA: Pruritus, Reaction to previous exposure to any vaccine — Feeling: Good
    Free text: Just the same itchy skin as I experienced after the initial first vaccination. It has just started and isn't as annoying as before, but I was surprised at waking up to it today.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-22
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-27
    Survey response — day 42, dose 4
    MedDRA: Pruritus — Feeling: Good
    Free text: Just the itchy skinit is getting itchier than it has been. Other than that, everything I'd ok.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-07-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-09-26
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  36. 2022-09-26
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  37. 2022-09-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Muscle or body aches
    Adult check-in
  38. 2022-09-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Muscle or body aches
    Adult check-in
  39. 2022-09-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  40. 2022-10-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  41. 2022-10-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  42. 2022-10-03
    Health check-in — day 7, dose 5
    Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  43. 2022-10-10
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-10-17
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-10-24
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-10-31
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-11-07
    Survey response — day 42, dose 5
    MedDRA: Pruritus, Reaction to previous exposure to any vaccine — Feeling: Fair
    Free text: The same itchy skin has reappeared. This was my skin's response after the initial vaccines and continued for months once it appeared.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-12-28
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  49. 2023-03-27
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in
  50. 2023-04-29
    Dose 6 — Pfizer-BioNTech
  51. 2023-05-09
    Health check-in — day 7, dose 6
    Feeling: Good · None
    Adult check-in
  52. 2023-05-16
    Survey response — day 14, dose 6
    MedDRA: Pruritus — Feeling: Good
    MedDRA releases: 2024-11
  53. 2023-05-21
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  54. 2023-05-28
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  55. 2023-06-03
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  56. 2023-06-10
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Pfizer-BioNTech
22021-03-25Pfizer-BioNTech
32021-10-10Pfizer-BioNTech No
42022-04-15Moderna No
52022-09-26Pfizer-BioNTech Flu
62023-04-29Pfizer-BioNTech No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Since I started this several days after my first vaccination, I didnt get to answer for Sat and Sunday when I did have symptoms

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Itchy barely visible rash on limbs, chest, neck, lower back most of trunk. Have had for three days... way less itchy today. No change in temp. Not contact dermatitis- have rewatched laundry, etc. nothing new used or skin or eaten. No hives on palms. cut off by CDC

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Light headed

Release 7 — day 14, dose 2

2021-04-08

Symptoms: In both armpits, have tender and itchy roundish masses...seem like swollen lymph nodes. My PCP thinks may be associated with the vaccination. If still there in a few weeks will be seen in the office.

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Swollen lymph nodes under both arms and continued spread of tiny hive like rash things and a growing line of bigger hives from mid-chest up around one side of neck. Itchy on many parts of trunk and below kneecaps

Release 8 — day 42, dose 2

2021-05-06

Symptoms: The rash just keeps going. Mostly the new hives are now reappearing in the same spots as before...mostly along the paths of the lymph nodes. Tired of the itchiness... but glad if it means my body reacts appropriately to being vaccinated

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: Stomache flu- not Covid- did home test and know who I picked it up from- also not Covid- entire family had PCR tests 6 weeks later had a cough, then runny/ stuffy nose- not Covid - tested again

Release 11 — day 21, dose 4

2022-05-11

Symptoms: Just the same itchy skin as I experienced after the initial first vaccination. It has just started and isn't as annoying as before, but I was surprised at waking up to it today.

Release 11 — day 42, dose 4

2022-05-27

Symptoms: Just the itchy skinit is getting itchier than it has been. Other than that, everything I'd ok.

Release 12 — day 42, dose 5

2022-11-07

Symptoms: The same itchy skin has reappeared. This was my skin's response after the initial vaccines and continued for months once it appeared.

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
SDCough · · ✓
SDFatigue ✓ ✓ ✓
SDGastroenteritis viral · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDMass ✓ ✓ ✓
SDNasal congestion · · ✓
SDOedema peripheral ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDReaction to previous exposure to any vaccine · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUrticaria ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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