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Z2B-21162-88252

2 vaccinations 3 coded responses 4 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
954 / CA
Registered
2021-05-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-07
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-06
    Registered in v-safe
  4. 2021-05-06
    Survey response — day 28, dose 2
    MedDRA: Blister, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site rash, Pain in extremity, Pruritus, Rash, Rash pruritic, Rash vesicular, Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 20 days after 2nd dose, I had a sm. Grape size lump at injection site appears where CG was painful, itching and a rash. 23 days after 2nd dose a hive rash, blisters on my feet appeared and was itchy and painful, went away on day 26 after 2nd dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-05-19
    Survey response — day 42, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair
    Free text: Swollen glands in my under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2022-04-07
    Survey response — 12 months, dose 2
    MedDRA: Breast tenderness, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Week after booster my breast were very tender- started menstruating again after already stopped for a year. It has been 87 days of non stop bleeding.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-04-07
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  9. 2022-04-12

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Pfizer-BioNTech
22021-04-07Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2022-04-07 Unsuccessful

Free text

Release 8 — day 28, dose 2

2021-05-06

Symptoms: 20 days after 2nd dose, I had a sm. Grape size lump at injection site appears where CG was painful, itching and a rash. 23 days after 2nd dose a hive rash, blisters on my feet appeared and was itchy and painful, went away on day 26 after 2nd dose. cut off by CDC

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Swollen glands in my under arm

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: Week after booster my breast were very tender- started menstruating again after already stopped for a year. It has been 87 days of non stop bleeding.

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
SDBlister ✓ · ✓
SDBreast tenderness · · ✓
SDHeavy menstrual bleeding · · ✓
SDInjection site erythema ○ ✓ ○
SDInjection site mass ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMenstruation irregular · · ✓
SDPain in extremity ✓ · ✓
SDPruritus ✓ · ✓
SDRash ○ ✓ ○
SDRash pruritic ○ ✓ ○
SDRash vesicular ○ ✓ ○
SDUrticaria ✓ ✓ ✓

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