ZL3-25963-01287
1 vaccination
5 coded responses
13 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 120 / NY
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-31
Dose 1 — Pfizer-BioNTech
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2021-04-03
Registered in v-safe
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Cheilitis, Lip swelling — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash and swelling of upper lip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Cheilitis, Lip blister, Lip swelling — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Swelling of upper lip and rash/bumps/blisters along upper lip. Resolving compared to yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: 3 random red itchy welt like spots, on non shot arm, abdomen, and leg. Swollen lip/rash mostly resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Lip swelling, Pruritus, Rash vesicular, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Lip swelling and Blistery rash on lip is resolved. The 3 Random welt/itchy spots earlier reported have not resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 7, dose 1MedDRA: Erythema, Eye disorder, Nasal pruritus, Rash, Rhinorrhoea, Self-medication, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Welts/rash still present in 3 spots. Seasonal allergy (even him though this is not my seasonal allergy time) of running nose and very red, itchy, and testy eyes started last night and Claritin only controlled for 9 hours instead of 24 which has never happened before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Rash and swelling of upper lip.
Systemic reaction (other): Swelling of upper lip and rash/bumps/blisters along upper lip. Resolving compared to yesterday.
Systemic reaction (other): 3 random red itchy welt like spots, on non shot arm, abdomen, and leg. Swollen lip/rash mostly resolved.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lip swelling and Blistery rash on lip is resolved. The 3 Random welt/itchy spots earlier reported have not resolved.
Release 7 — day 7, dose 1
Systemic reaction (other): Welts/rash still present in 3 spots. Seasonal allergy (even him though this is not my seasonal allergy time) of running nose and very red, itchy, and testy eyes started last night and Claritin only controlled for 9 hours instead of 24 which has never happened before.
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 |
|---|---|---|---|---|
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Eye disorder | ✓ | ✓ | ✓ |
| SRO | Lip blister | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Nasal pruritus | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash vesicular | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release