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
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-18
Dose 2 — Pfizer-BioNTech
-
2022-01-05
Dose 3 — Pfizer-BioNTech
-
2022-01-09
Registered in v-safe
-
2022-01-09
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree 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
-
2022-01-10
Survey response — days 1–6 daily, dose 3MedDRA: Blister, Injection site vesicles, Rash — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Rash, not including the immediate area around the injection siteFree 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 quaMedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteFree text: I already told you about the vestibule at injection site to affective arm!MedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Survey response — day 7, dose 3MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash to shoulder is fadingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2023-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | No |
| 2 | 2021-04-18 | Pfizer-BioNTech | No |
| 3 | 2022-01-05 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
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
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
Systemic reaction (other): I already told you about the vestibule at injection site to affective arm!
Release 10 — day 7, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Blister | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site vesicles | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release