6LJ-12406-53358 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-06-04
Registered in v-safe
2021-06-04
Dose 1 — Pfizer-BioNTech
2021-06-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-06
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Rash erythematous, Rash papular — Feeling: Good

Free text: 3 raised bumps on right forearm(same arm as injection) 2 pea sized and one is quarter sized. Does not itch just raised and red color.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-08
Survey response — days 1–6 daily, dose 1
MedDRA: Acne, Pre-existing disease — Feeling: Good

Free text: Acne breakout on face and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-24
Dose 2 — Pfizer-BioNTech
2021-06-25
Survey response — days 1–6 daily, dose 2
MedDRA: Middle insomnia, Rash, Rash pruritic — Feeling: Poor · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: The rash looks like mosquito bites and itches but is not mosquito bites cuz I was not out today, and was in bed sleeping when they appeared and they woke me up itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I have the same rash mentioned yesterday except yesterday after check in the rash spread to inside of thighs by groin , by both knees, on one arm and large swelling under armpit of injected arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Gait disturbance, Gait inability, Mobility decreased, Peripheral swelling, Pruritus — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cant walk today cuz feet are swollen inside them all over bottom of feet and side of foot. Burns and itches due to swelling cant walk hardly without it feeling like an overfull tomato when I walk then after take feet off ground burns and itches sev

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling, Rash — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash still bad today, feet are better but still slightly swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-04	Pfizer-BioNTech
2	2021-06-24	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-06

Systemic reaction (other): 3 raised bumps on right forearm(same arm as injection) 2 pea sized and one is quarter sized. Does not itch just raised and red color.

2021-06-08

Systemic reaction (other): Acne breakout on face and neck

Release 9 — days 1–6 daily, dose 2

2021-06-25

Systemic reaction (other): The rash looks like mosquito bites and itches but is not mosquito bites cuz I was not out today, and was in bed sleeping when they appeared and they woke me up itching.

2021-06-26

Systemic reaction (other): I have the same rash mentioned yesterday except yesterday after check in the rash spread to inside of thighs by groin , by both knees, on one arm and large swelling under armpit of injected arm.

2021-06-27

Systemic reaction (other): Cant walk today cuz feet are swollen inside them all over bottom of feet and side of foot. Burns and itches due to swelling cant walk hardly without it feeling like an overfull tomato when I walk then after take feet off ground burns and itches sev cut off by CDC

2021-06-28

Systemic reaction (other): Rash still bad today, feet are better but still slightly swollen

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	Acne	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Gait inability	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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