Y8F-31790-93466
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-03-30
Registered in v-safe
- 2021-03-30
- 2021-04-06
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2021-04-13
Dose 2 — Pfizer-BioNTech
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2021-04-22
Survey response — day 7, dose 2MedDRA: Chills, Headache, Influenza like illness, Injection site pain, Nausea, Pain, Pyrexia — Feeling: Good · FeverFree text: I had flu like symptoms on the day of the shot and the day after (fever, chills, nausea, aches, headache). I also had arm soreness for several days on the side I had the shot. Im fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 14, dose 2MedDRA: Pruritus, Rash, Rash papular, Rash pruritic — Feeling: FairFree text: I have a raised, itchy, bumpy rash on my right arm (not the arm I got the shot in) above and below the elbow. I have never experienced this type of itchy rash. My legs are also itchy around the side of the knees but there is no visible rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 21, dose 2MedDRA: Dry skin, Rash, Rash pruritic — Feeling: GoodFree text: I had an itchy rash on my arms and a little ash that looked like giraffe spots on my left leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 28, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-07-15
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2021-10-13
Survey response — 6 months, dose 2MedDRA: Arthralgia, Dry eye, Dry mouth, Fatigue — Feeling: Fair · Be unable to work or attend schoolFree text: Dry eye and mouth, exhaustion, joint pain. (Possible Sjögren's syndrome)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech |
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): I had flu like symptoms on the day of the shot and the day after (fever, chills, nausea, aches, headache). I also had arm soreness for several days on the side I had the shot. Im fine now.
Release 8 — day 14, dose 2
Symptoms: I have a raised, itchy, bumpy rash on my right arm (not the arm I got the shot in) above and below the elbow. I have never experienced this type of itchy rash. My legs are also itchy around the side of the knees but there is no visible rash.
Release 8 — day 21, dose 2
Symptoms: I had an itchy rash on my arms and a little ash that looked like giraffe spots on my left leg.
Release 8 — day 28, dose 2
Symptoms: Bad headaches.
Release 10 — 6 months, dose 2
Symptoms: Dry eye and mouth, exhaustion, joint pain. (Possible Sjögren's syndrome)
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 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release