Z2Y-16349-12210
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 956 / CA
- Registered
- 2021-09-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-09-15
Dose 1 — Pfizer-BioNTech
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2021-09-23
Registered in v-safe
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2021-09-23
Health check-in — day 7, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-09-29
Survey response — day 14, dose 1MedDRA: Headache, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continued mild headache and body aches that were not previously experienced prior to 1st vaccinationMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Dose 2 — Pfizer-BioNTech
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2021-10-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-10-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-10-13
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-10-27
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2021-11-03
Survey response — day 28, dose 2MedDRA: Lichen planus, Pre-existing disease — Feeling: GoodFree text: The vaccine seems to have been a Trigger for my Autoimmune and am now broke out all over in Lichen Planus.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Survey response — day 42, dose 2MedDRA: Diarrhoea, Lichen planus, Pre-existing disease — Feeling: FairFree text: Lichen planus flare up triggered by vaccine and diarrheaMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Survey response — 3 months, dose 2MedDRA: Lichen planus — Feeling: GoodFree text: Just a continued breakout of lichen planus since the vaccines.MedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Survey response — 12 months, dose 2MedDRA: Lichen planus — Feeling: GoodFree text: Juat ever sunce the vaccines I have had consistent Lichen Planus on my skin and all over face when I did not have prior to the Covid shots.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-15 | Pfizer-BioNTech | No |
| 2 | 2021-10-06 | Pfizer-BioNTech | No |
Free text
Release 9 — day 14, dose 1
Symptoms: Continued mild headache and body aches that were not previously experienced prior to 1st vaccination
Release 10 — day 28, dose 2
Symptoms: The vaccine seems to have been a Trigger for my Autoimmune and am now broke out all over in Lichen Planus.
Release 10 — day 42, dose 2
Symptoms: Lichen planus flare up triggered by vaccine and diarrhea
Release 10 — 3 months, dose 2
Symptoms: Just a continued breakout of lichen planus since the vaccines.
Release 12 — 12 months, dose 2
Symptoms: Juat ever sunce the vaccines I have had consistent Lichen Planus on my skin and all over face when I did not have prior to the Covid shots.
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 | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lichen planus | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release