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5LT-81446-50166

3 vaccinations 4 coded responses 6 check-ins 4 free-text entries 0 call cases
Sex
—
Age at first dose
66+
ZIP prefix
931 / CA
Registered
2022-01-09
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-03-29
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-18
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-05
    Dose 3 — Pfizer-BioNTech
  4. 2022-01-09
    Registered in v-safe
  5. 2022-01-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site reaction, Pre-existing disease, Rash — Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Yes I have a vestibule to injection site!!Never had that before! Also I have a rash localized to to my injection arm and all 3 vaccines were given in my left deltoid!!As my right arm was broken in 2 sites and still have tenderness and limited abili.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blister, Injection site vesicles, Rash — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Rash, not including the immediate area around the injection site
    Free text: I still have the vesicular where the injection site is and still have the rash to top of my shoulder on the injection site side!!So has this been reported before?? I am not sure how long I have had the rash or the fluid filled blister the size of qua
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site reaction — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection site
    Free text: I already told you about the vestibule at injection site to affective arm!
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-13
    Survey response — day 7, dose 3
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash to shoulder is fading
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-21
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  10. 2023-01-07
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Pfizer-BioNTech No
22021-04-18Pfizer-BioNTech No
32022-01-05Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 3

2022-01-09

Systemic reaction (other): Yes I have a vestibule to injection site!!Never had that before! Also I have a rash localized to to my injection arm and all 3 vaccines were given in my left deltoid!!As my right arm was broken in 2 sites and still have tenderness and limited abili. cut off by CDC

2022-01-10

Systemic reaction (other): I still have the vesicular where the injection site is and still have the rash to top of my shoulder on the injection site side!!So has this been reported before?? I am not sure how long I have had the rash or the fluid filled blister the size of qua cut off by CDC

2022-01-11

Systemic reaction (other): I already told you about the vestibule at injection site to affective arm!

Release 10 — day 7, dose 3

2022-01-13

Systemic reaction (other): Rash to shoulder is fading

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
SROBlister · · ✓
SROInjection site reaction · · ✓
SROInjection site vesicles · · ✓
SROPre-existing disease · · ✓
SRORash · · ✓

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