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YSJ-61163-68636

1 vaccination 5 coded responses 12 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
352 / AL
Registered
2021-01-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-31
    Registered in v-safe
  2. 2021-01-31
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-31
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, 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: Weird taste In mouth since I received the vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-02-07
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-02-14
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site mass, Injection site pain, Injection site rash, Injection site warmth — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Big round area at injection side that resembles a rash with multiple lumps inside and covers my upper arm and it is hot, red & painful..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-17
    Survey response — day 42, dose 1
    MedDRA: Burning sensation, Rash — Feeling: Poor
    Free text: Rash on elbow of opposite arm. The rash is hot, burning and looks like the same one that I got at the injection site arm. It has lasted 4 days now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-02
    Survey response — 3 months, dose 1
    MedDRA: Night sweats, Pre-existing disease, Rash — Feeling: Fair
    Free text: Arthritic type rash on elbow & night sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-08-04
    Survey response — 6 months, dose 1
    MedDRA: Diarrhoea, Gastric disorder, Nausea, Pyrexia, Rash, Vomiting — Feeling: Poor
    Free text: Stomach issues- N/V/D & Fever along with the same rash on elbow which has not gone away.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-31Pfizer-BioNTech

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Weird taste In mouth since I received the vaccination

Release 4 — day 14, dose 1

2021-02-14

Symptoms: Big round area at injection side that resembles a rash with multiple lumps inside and covers my upper arm and it is hot, red & painful..

Release 5 — day 42, dose 1

2021-03-17

Symptoms: Rash on elbow of opposite arm. The rash is hot, burning and looks like the same one that I got at the injection site arm. It has lasted 4 days now.

Release 8 — 3 months, dose 1

2021-05-02

Symptoms: Arthritic type rash on elbow & night sweats

Release 9 — 6 months, dose 1

2021-08-04

Symptoms: Stomach issues- N/V/D & Fever along with the same rash on elbow which has not gone away.

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
SDBurning sensation ✓ ✓ ✓
SDDiarrhoea ✓ · ✓
SDGastric disorder ✓ · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDNausea ✓ · ✓
SDNight sweats ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ · ✓
SDRash ✓ ✓ ✓
SDVomiting ✓ · ✓
SRODysgeusia ✓ ✓ ✓

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