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ZSY-14261-43662

2 vaccinations 4 coded responses 19 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
917 / CA
Registered
2020-12-23
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Referred pain & tightness from injection site to trapezoid on same side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-13
    Dose 2 — Pfizer-BioNTech
  9. 2021-01-13
    Health check-in — day 0, dose 2
    Feeling: Good · Chills, Muscle or body aches
    Adult check-in
  10. 2021-01-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Skin sensitisation — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Skin sensitivity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  12. 2021-01-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer, Furuncle, Purulence — Feeling: Good · Joint pains
    Free text: Within 36 hours of receiving the second dose I noticed a boil on my skin grew 3x and pus filled, almost like an immunity reaction. It had been a small whitehead on my back for a while and suddenly, overnight it grew into a painful tender boil. However 36 hours after the side effects passed, so did the boil- the pus drained easily. Im almost certain it was a reaction to the second dose. In hindsight I realize even with the first dose I developed a lower lip mouth ulcer/canker sore, which disappeared within 36 hours of the first jab.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-20
    Health check-in — day 7, dose 2
    Feeling: Fair · Chills
    Adult check-in
  16. 2021-01-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-03
    Survey response — day 21, dose 2
    MedDRA: Chills, Throat irritation — Feeling: Good
    Free text: Felt mild chills yesterday along with mild scratchy throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-01-13
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Pfizer-BioNTech
22021-01-13Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-01-14 priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): Referred pain & tightness from injection site to trapezoid on same side

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Skin sensitivity

2021-01-15

Systemic reaction (other): Within 36 hours of receiving the second dose I noticed a boil on my skin grew 3x and pus filled, almost like an immunity reaction. It had been a small whitehead on my back for a while and suddenly, overnight it grew into a painful tender boil. However 36 hours after the side effects passed, so did the boil- the pus drained easily. Im almost certain it was a reaction to the second dose. In hindsight I realize even with the first dose I developed a lower lip mouth ulcer/canker sore, which disappeared within 36 hours of the first jab.

Release 3 — day 21, dose 2

2021-02-03

Symptoms: Felt mild chills yesterday along with mild scratchy throat.

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
SDChills ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SROAphthous ulcer ✓ ✓ ✓
SROFuruncle ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPurulence ✓ ✓ ✓
SROSkin sensitisation ✓ ✓ ✓

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

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