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ZSR-20565-87105

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
967 / HI
Registered
2021-09-10
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-10
    Registered in v-safe
  3. 2021-09-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nipple pain — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Very tender nipples
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-09-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2021-09-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-09-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry skin, Rash, Urticaria — Feeling: Fair · Headache
    Free text: Dry rough spots where the rash/hives were
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-09-18
    Survey response — day 7, dose 1
    MedDRA: Dry skin, Urticaria — Feeling: Good
    Free text: Dry skin where hives on arms were
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-09-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-09-30
    Dose 2 — Pfizer-BioNTech
  10. 2021-09-30
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  11. 2021-10-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-10-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-10-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-10-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-10-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-10-14
    Survey response — day 14, dose 2
    MedDRA: Urticaria — Feeling: Good
    Free text: Psoriasis looking patches where hives were on arms
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-21
    Survey response — day 21, dose 2
    MedDRA: Skin exfoliation, Urticaria — Feeling: Good
    Free text: Scaling spots on arms where hives were. These are not going away!
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-09Pfizer-BioNTech No
22021-09-30Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-10

Systemic reaction (other): Very tender nipples

2021-09-15

Systemic reaction (other): Dry rough spots where the rash/hives were

Release 9 — day 7, dose 1

2021-09-18

Systemic reaction (other): Dry skin where hives on arms were

Release 10 — day 14, dose 2

2021-10-14

Symptoms: Psoriasis looking patches where hives were on arms

Release 10 — day 21, dose 2

2021-10-21

Symptoms: Scaling spots on arms where hives were. These are not going away!

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
SDSkin exfoliation · · ✓
SDUrticaria · · ✓
SRODry skin · · ✓
SRONipple pain · · ✓
SRORash · · ✓
SROUrticaria · · ✓

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