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5NM-40385-03427

5 vaccinations 8 coded responses 21 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
300 / GA
Registered
2021-03-20
Relationship
Self
Race
Black or African American
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-20
    Registered in v-safe
  3. 2021-03-20
    Health check-in — day 7, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-03-28
    Survey response — day 14, dose 1
    MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good
    Free text: Red itchy rash lower left arm as of Saturday 3/27/21. Previous rash has subsided
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Rash on lower left arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-03
    Dose 2 — Pfizer-BioNTech
  7. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Redness and itching on lower right arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-10
    Survey response — day 7, dose 2
    MedDRA: Erythema, Limb discomfort, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Itching and redness lower right arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-26
    Survey response — day 21, dose 2
    MedDRA: Erythema, Urticaria — Feeling: Good
    Free text: Developed welt with skin reddening on upper right shoulder. Welt on injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-01
    Survey response — day 28, dose 2
    MedDRA: Erythema, Pruritus, Urticaria — Feeling: Good
    Free text: Developed welts and skin reddening with itching on upper right shoulder and neck. Also welt and reddened skin on lower left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-08
    Survey response — day 35, dose 2
    MedDRA: Erythema, Pruritus, Urticaria — Feeling: Good
    Free text: Welts with reddening on upper back and right wrist. Itching on both.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-11
    Dose 3 — Pfizer-BioNTech
  16. 2022-04-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-04-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-05-18
    Dose 4 — Pfizer-BioNTech
  19. 2022-05-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  21. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache
    Adult check-in
  23. 2022-05-25
    Health check-in — day 7, dose 4
    Feeling: Good · Headache
    Adult check-in
  24. 2022-08-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-11-04
    Dose 5 — Pfizer-BioNTech
  26. 2022-11-18
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  27. 2023-05-08
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Pfizer-BioNTech
22021-04-03Pfizer-BioNTech
32021-10-11Pfizer-BioNTech No
42022-05-18Pfizer-BioNTech No
52022-11-04Pfizer-BioNTech No

Free text

Release 6 — day 14, dose 1

2021-03-28

Symptoms: Red itchy rash lower left arm as of Saturday 3/27/21. Previous rash has subsided

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Rash on lower left arm

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Redness and itching on lower right arm.

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): Itching and redness lower right arm

Release 8 — day 21, dose 2

2021-04-26

Symptoms: Developed welt with skin reddening on upper right shoulder. Welt on injection site.

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Developed welts and skin reddening with itching on upper right shoulder and neck. Also welt and reddened skin on lower left arm.

Release 8 — day 35, dose 2

2021-05-08

Symptoms: Welts with reddening on upper back and right wrist. Itching on both.

Release 11 — days 1–6 daily, dose 4

2022-05-19

Systemic reaction (other): No

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
SDErythema ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SRONo adverse event · · ✓
SROPruritus ✓ ✓ ✓

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

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