5KV-10143-33906
5 vaccinations
3 coded responses
47 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 077 / NJ
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Pfizer-BioNTech
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Survey response — day 28, dose 2MedDRA: Rash macular, Skin lesion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have some skin lesions like red or dark red spots in certain areas of body. My dermatologist is looking into this to see what the issue is. showed up after second shot. It was one or two to begin with, but about a dozen now, but not increasing nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
-
2021-03-31
Survey response — day 42, dose 2MedDRA: Rash macular, Skin lesion — Feeling: GoodFree text: The lesion/red spots I mentioned in my earlier report is still there. Still not sure if it is due to vaccine or doxycycline antibiotics I was taking prescribed by my dermatologist. I will be seeing my dermatologist on April 22nd.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-08-17
-
2021-09-08
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-06
- 2021-10-13
-
2021-10-20
Survey response — day 42, dose 3MedDRA: Medical counselling, Oropharyngeal pain, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Having sore throat since yesterday and checked in with CVS clinic today. They are checking for strep throat and asked me take OTC cold/flu medication.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-08
- 2022-03-09
-
2022-05-24
Dose 4 — Moderna
- 2022-05-24
-
2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-27
- 2022-05-29
- 2022-05-30
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-23
-
2022-10-20
Dose 5 — Pfizer-BioNTech
- 2022-11-22
- 2022-11-22
- 2022-11-24
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-09-08 | Pfizer-BioNTech | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-10-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 28, dose 2
Symptoms: I have some skin lesions like red or dark red spots in certain areas of body. My dermatologist is looking into this to see what the issue is. showed up after second shot. It was one or two to begin with, but about a dozen now, but not increasing now cut off by CDC
Release 6 — day 42, dose 2
Symptoms: The lesion/red spots I mentioned in my earlier report is still there. Still not sure if it is due to vaccine or doxycycline antibiotics I was taking prescribed by my dermatologist. I will be seeing my dermatologist on April 22nd.
Release 10 — day 42, dose 3
Symptoms: Having sore throat since yesterday and checked in with CVS clinic today. They are checking for strep throat and asked me take OTC cold/flu medication.
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 |
|---|---|---|---|---|
| SD | Medical counselling | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Skin lesion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release