5M4-26545-89625
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 117 / NY
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Pfizer-BioNTech
-
2021-04-25
Registered in v-safe
-
2021-04-25
Survey response — day 7, dose 1MedDRA: Blister, Burning sensation, Pruritus, Rash — Feeling: Fair · Site: Redness, ItchingFree text: Mildly itchy, burning, blistery rash on vaccinated arm. Started as one patch & spread to 5 patches in various sizes up to the size of a quarterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-05-06
Dose 2 — Pfizer-BioNTech
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-10
-
2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2021-05-12
-
2021-05-13
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain, Pain in jaw, Respiratory tract congestion — Feeling: Poor · HeadacheFree text: Sore throat & jaw area, stuffinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Survey response — day 14, dose 2MedDRA: Rash, Rash erythematous, Rash pruritic, Rash vesicular, Vaccine positive rechallenge — Feeling: GoodFree text: The rash that I got after the first shot has flared up again since i got the second shot. It shows as red itchy blister-like clusters about the size of a dime/nickel and appear on both upper arms even tho the shots were both in my right arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-08-05
- 2021-11-04
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-06 | Pfizer-BioNTech |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Mildly itchy, burning, blistery rash on vaccinated arm. Started as one patch & spread to 5 patches in various sizes up to the size of a quarter
Release 8 — day 7, dose 2
Systemic reaction (other): Sore throat & jaw area, stuffiness
Release 8 — day 14, dose 2
Symptoms: The rash that I got after the first shot has flared up again since i got the second shot. It shows as red itchy blister-like clusters about the size of a dime/nickel and appear on both upper arms even tho the shots were both in my right arm.
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 | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rash vesicular | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release