5MZ-21653-74015
1 vaccination
6 coded responses
7 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 787 / TX
- Registered
- 2021-08-23
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-22
Dose 1 — Pfizer-BioNTech
-
2021-08-23
Registered in v-safe
-
2021-08-23
Survey response — days 1–6 daily, dose 1MedDRA: Skin discolouration — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Large discolored patches on skin right thigh.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Survey response — days 1–6 daily, dose 1MedDRA: Pelvic pain, Skin discolouration — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Leg, white patchy discoloration. Lower right pelvic pain by ovaryMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Survey response — days 1–6 daily, dose 1MedDRA: Skin discolouration — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: White patches on thigh skin discolorationMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Skin discolouration — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash white patch on legMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-28
Survey response — days 1–6 daily, dose 1MedDRA: Skin discolouration — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: White patches on thighMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Survey response — day 7, dose 1MedDRA: Skin discolouration — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: White patches on thighMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-22 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Large discolored patches on skin right thigh.
Systemic reaction (other): Leg, white patchy discoloration. Lower right pelvic pain by ovary
Systemic reaction (other): White patches on thigh skin discoloration
Systemic reaction (other): Rash white patch on leg
Systemic reaction (other): White patches on thigh
Release 9 — day 7, dose 1
Systemic reaction (other): White patches on thigh
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 | Pelvic pain | ✓ | · | ✓ |
| SRO | Rash | ✓ | · | ✓ |
| SRO | Skin discolouration | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release