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Z2A-15413-59828

5 vaccinations 7 coded responses 30 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
344 / FL
Registered
2021-02-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-17
    Dose 2 — Pfizer-BioNTech
  8. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-03
    Survey response — day 14, dose 2
    MedDRA: Rash, Rash pruritic, Skin warm, Urticaria — Feeling: Good
    Free text: My right arm broke out with 11 welts that look like bee stings. They itch a little but do not hurt. They are warm to the touch. This occurred 10 days after the second shot. 3 of the welts have gone away. It does NOT seem to be getting worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-10
    Survey response — day 21, dose 2
    MedDRA: Erythema, Pruritus, Urticaria — Feeling: Good
    Free text: My left arm broke out in small welts that look like bee stings. Breakout was 20 days after the second shot. Slightly itchy and very red. Does not hurt.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-17
    Survey response — day 28, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: The rash appears on my chest, back if my neck and on my right ankle 3 days ago. No pain. It has been about 30 days past my second shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-31
    Survey response — day 42, dose 2
    MedDRA: Peripheral swelling, Rash, Tenderness — Feeling: Good
    Free text: Today, upper right arm is swollen and has a rash and is sore to the touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-17
    Dose 3 — Pfizer-BioNTech
  16. 2021-08-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-11-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-02-15
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-04-07
    Dose 4 — Pfizer-BioNTech
  21. 2022-04-14
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-04-21
    Survey response — day 14, dose 4
    MedDRA: Rash — Feeling: Good
    Free text: Broke out in a rash on my forearms and near my arm pits. Did not hurt. Did not itch. Went away within 8 hours.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-04-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-05-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-07-07
    Survey response — 3 months, dose 4
    MedDRA: Urticaria — Feeling: Good
    Free text: Hives on my lower left back. Four hives. They went away in about 5 days. Did not hurt or itch.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-09-10
    Dose 5 — Pfizer-BioNTech
  29. 2022-09-19
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  30. 2022-09-24
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  31. 2022-10-02
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  32. 2022-10-08
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  33. 2022-10-15
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  34. 2022-10-22
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  35. 2022-12-10
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  36. 2023-03-11
    Survey response — 6 months, dose 5
    MedDRA: Pain, Pruritus, Urticaria — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-17Pfizer-BioNTech
32021-08-17Pfizer-BioNTech No
42022-04-07Pfizer-BioNTech No
52022-09-10Pfizer-BioNTech No

Free text

Release 5 — day 14, dose 2

2021-03-03

Symptoms: My right arm broke out with 11 welts that look like bee stings. They itch a little but do not hurt. They are warm to the touch. This occurred 10 days after the second shot. 3 of the welts have gone away. It does NOT seem to be getting worse.

Release 5 — day 21, dose 2

2021-03-10

Symptoms: My left arm broke out in small welts that look like bee stings. Breakout was 20 days after the second shot. Slightly itchy and very red. Does not hurt.

Release 5 — day 28, dose 2

2021-03-17

Symptoms: The rash appears on my chest, back if my neck and on my right ankle 3 days ago. No pain. It has been about 30 days past my second shot.

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Today, upper right arm is swollen and has a rash and is sore to the touch.

Release 11 — day 14, dose 4

2022-04-21

Symptoms: Broke out in a rash on my forearms and near my arm pits. Did not hurt. Did not itch. Went away within 8 hours.

Release 12 — 3 months, dose 4

2022-07-07

Symptoms: Hives on my lower left back. Four hives. They went away in about 5 days. Did not hurt or itch.

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
SDErythema ✓ ✓ ✓
SDPain · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓

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