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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

  1. 2021-09-15
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-23
    Registered in v-safe
  3. 2021-09-23
    Health check-in — day 7, dose 1
    Feeling: 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 activities
    Adult check-in
  4. 2021-09-29
    Survey response — day 14, dose 1
    MedDRA: Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continued mild headache and body aches that were not previously experienced prior to 1st vaccination
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-06
    Dose 2 — Pfizer-BioNTech
  6. 2021-10-06
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  7. 2021-10-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-10-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-10-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-10-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-10-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-10-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  13. 2021-10-13
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  14. 2021-10-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-03
    Survey response — day 28, dose 2
    MedDRA: Lichen planus, Pre-existing disease — Feeling: Good
    Free 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
  16. 2021-11-18
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea, Lichen planus, Pre-existing disease — Feeling: Fair
    Free text: Lichen planus flare up triggered by vaccine and diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-05
    Survey response — 3 months, dose 2
    MedDRA: Lichen planus — Feeling: Good
    Free text: Just a continued breakout of lichen planus since the vaccines.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-10-06
    Survey response — 12 months, dose 2
    MedDRA: Lichen planus — Feeling: Good
    Free 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

DoseDateManufacturerCo-administered
12021-09-15Pfizer-BioNTech No
22021-10-06Pfizer-BioNTech No

Free text

Release 9 — day 14, dose 1

2021-09-29

Symptoms: Continued mild headache and body aches that were not previously experienced prior to 1st vaccination

Release 10 — day 28, dose 2

2021-11-03

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

2021-11-18

Symptoms: Lichen planus flare up triggered by vaccine and diarrhea

Release 10 — 3 months, dose 2

2022-01-05

Symptoms: Just a continued breakout of lichen planus since the vaccines.

Release 12 — 12 months, dose 2

2022-10-06

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓
SDHeadache · · ✓
SDLichen planus · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓

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