65L-24219-89265
4 vaccinations
11 coded responses
42 check-ins
11 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 785 / TX
- Registered
- 2020-12-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-16
Registered in v-safe
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2020-12-16
Dose 1 — Pfizer-BioNTech
- 2020-12-16
- 2020-12-17
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2020-12-18
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: PainFree text: Some soreness in the area immediately around the injection site (left deltoid).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Mildly itchy rash on the anterior aspect of the neck at the levels of C5 vertebra (on the right), C7 vertebra (on the left), on the right ribcage adjacent to the axillary border of the scapula, and on the left forearm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection siteFree text: There are some mildly itchy rashes on left arm and forearm, right submandibular area adjacent to the mandibular angle, on the helix of the left ear, and on the right lower back at the level of the L2/L3 vertebrae. However, these rashes seem to be resolving themselves within 24-48 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection siteFree text: There are mildly itchy rashes on the right and left arms, and on the back. But these rashes seem to be resolving themselves within 24-48 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection siteFree text: There are mildly itchy rashes on my back, but they seem to be resolving themselves within 24-48 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-25
- 2020-12-30
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2021-01-06
Dose 2 — Pfizer-BioNTech
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2021-01-06
Survey response — day 0, dose 2MedDRA: Injection site pain, Pruritus — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection siteFree text: There is some mild soreness over my left deltoid (the injection site), and some mild itching on my left forearm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Rash — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: There is mild soreness over my left deltoid (injection site), and there is some mild rash overlying the right teres major muscle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Rash, Rash pruritic — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: There is some mild soreness over my left deltoid (injection site), and some mildly itchy rash over my left axillary tail.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash pruritic — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: There is mildly itchy rash over my right deltoid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Rash pruritic — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: There are some mildly itchy rashes on my right and left arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: There are some mild rashes on my right and left axillary tails, left forearm, and left leg. However, these rashes seem to take care of themselves within 24-72 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-04-07
- 2021-07-07
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2021-11-24
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2022-01-05
- 2022-02-23
- 2022-11-24
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2022-11-28
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-28
- 2022-11-29
- 2022-11-30
- 2022-12-01
- 2022-12-02
- 2022-12-03
- 2022-12-04
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2023-01-02
- 2023-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-06 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Pfizer-BioNTech | Flu |
| 4 | 2022-11-28 | Pfizer-BioNTech | Flu |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Some soreness in the area immediately around the injection site (left deltoid).
Systemic reaction (other): Mildly itchy rash on the anterior aspect of the neck at the levels of C5 vertebra (on the right), C7 vertebra (on the left), on the right ribcage adjacent to the axillary border of the scapula, and on the left forearm.
Systemic reaction (other): There are some mildly itchy rashes on left arm and forearm, right submandibular area adjacent to the mandibular angle, on the helix of the left ear, and on the right lower back at the level of the L2/L3 vertebrae. However, these rashes seem to be resolving themselves within 24-48 hours.
Systemic reaction (other): There are mildly itchy rashes on the right and left arms, and on the back. But these rashes seem to be resolving themselves within 24-48 hours.
Systemic reaction (other): There are mildly itchy rashes on my back, but they seem to be resolving themselves within 24-48 hours.
Release 1 — day 0, dose 2
Systemic reaction (other): There is some mild soreness over my left deltoid (the injection site), and some mild itching on my left forearm.
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): There is mild soreness over my left deltoid (injection site), and there is some mild rash overlying the right teres major muscle.
Systemic reaction (other): There is some mild soreness over my left deltoid (injection site), and some mildly itchy rash over my left axillary tail.
Systemic reaction (other): There is mildly itchy rash over my right deltoid.
Systemic reaction (other): There are some mildly itchy rashes on my right and left arms.
Systemic reaction (other): There are some mild rashes on my right and left axillary tails, left forearm, and left leg. However, these rashes seem to take care of themselves within 24-72 hours.
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 | Injection site joint pain | ○ | ○ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release