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Y3T-22880-12247

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
481 / MI
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-06
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy, Malaise — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Lymph nodes in neck are slightly enlarged and I feel like Ny body is fighting something off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in jaw — Feeling: Good · Site: Pain
    Free text: Jaw pain very mild may not be related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  14. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-11
    Survey response — day 14, dose 2
    MedDRA: Rash, Rash pruritic — Feeling: Good
    Free text: Itchy rash on chest, underarm area and on top of abdomen by bra line. Not sure if it is related but its been there ever since the 2nd vaccine was given.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-17
    Survey response — day 21, dose 2
    MedDRA: Genital rash, Rash, Rash pruritic — Feeling: Good
    Free text: Itchy rash on chest, abdomen, under both arms and private areas. Not sure if its from vaccine or new laundry detergent.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-05
    Survey response — day 35, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: Rash on my chest , underarm area, abdominal area, elbows and private area not going away and appearing in a new place (elbows). I got my 2nd shot on January 27th and the rash appeared after that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-28
    Survey response — 3 months, dose 2
    MedDRA: Lichen planus, Office visit — Feeling: Fair
    Free text: Diagnosed with Lichens Planus after second dose of Pfizer vaccine. Diagnosed by a dermatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Pfizer-BioNTech
22021-01-27Pfizer-BioNTech

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Lymph nodes in neck are slightly enlarged and I feel like Ny body is fighting something off

2021-01-09

Systemic reaction (other): Jaw pain very mild may not be related

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Itchy rash on chest, underarm area and on top of abdomen by bra line. Not sure if it is related but its been there ever since the 2nd vaccine was given.

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Itchy rash on chest, abdomen, under both arms and private areas. Not sure if its from vaccine or new laundry detergent.

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Rash on my chest , underarm area, abdominal area, elbows and private area not going away and appearing in a new place (elbows). I got my 2nd shot on January 27th and the rash appeared after that.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Diagnosed with Lichens Planus after second dose of Pfizer vaccine. Diagnosed by a dermatologist

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
SDGenital rash ✓ ✓ ✓
SDLichen planus ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓

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

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