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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

  1. 2021-03-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-03
    Registered in v-safe
  3. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cheilitis, Lip swelling — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash and swelling of upper lip.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cheilitis, Lip blister, Lip swelling — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  5. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  6. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lip swelling, Pruritus, Rash vesicular, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  7. 2021-04-07
    Survey response — day 7, dose 1
    MedDRA: Erythema, Eye disorder, Nasal pruritus, Rash, Rhinorrhoea, Self-medication, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  8. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-05
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-12
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-30
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-09-29
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2022-04-02
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Rash and swelling of upper lip.

2021-04-04

Systemic reaction (other): Swelling of upper lip and rash/bumps/blisters along upper lip. Resolving compared to yesterday.

2021-04-05

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

2021-04-06

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

2021-04-07

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

FieldPreferred term2021-092023-042024-11
SROCheilitis ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROEye disorder ✓ ✓ ✓
SROLip blister ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SRONasal pruritus ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash vesicular ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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