2A8-27215-04313
4 vaccinations
10 coded responses
14 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 984 / WA
- Registered
- 2022-06-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Pfizer-BioNTech
-
2021-02-04
Dose 2 — Pfizer-BioNTech
-
2021-10-30
Dose 3 — Pfizer-BioNTech
-
2022-05-31
Dose 4 — Pfizer-BioNTech
-
2022-06-01
Registered in v-safe
-
2022-06-01
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: Fair · Headache, Fatigue or tirednessFree text: Itchy spots on my left forearm, below where I got the shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
Survey response — days 1–6 daily, dose 4MedDRA: Rash papular, Rash pruritic, Urticaria — Feeling: GoodFree text: I have had several eruptions of hives, on my neck, hip, and arm. It's not a rash, it's raised itchy bumps.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Survey response — days 1–6 daily, dose 4MedDRA: Urticaria — Feeling: GoodFree text: I have more hives today, on my forehead and my leg. I had hives for 3 months after my first booster but did not connect them with the shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Survey response — days 1–6 daily, dose 4MedDRA: Urticaria — Feeling: GoodFree text: Still dealing with hives!MedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus, Sleep disorder, Urticaria — Feeling: GoodFree text: More hives overnight, on my knee and forearm. The itching makes it hard to sleep.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-07
Survey response — day 7, dose 4MedDRA: Urticaria — Feeling: GoodFree text: More hives, this time on my chest. Happened in the daytime, not at night.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-14
Survey response — day 14, dose 4MedDRA: Urticaria — Feeling: GoodFree text: More hives - on my back, face, arms.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
-
2022-06-28
Survey response — day 28, dose 4MedDRA: Office visit, Pruritus, Seborrhoeic keratosis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lots of seborrheic keratosis spots suddenly on my back, some itchies as well. · Healthcare visit (other): Appointment with dermatologistMedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-29
-
2022-06-29
Callback requested for06:00PM ET
-
2022-06-29
Call successfulCompleted over the phone
- 2022-07-05
-
2022-07-12
Survey response — day 42, dose 4MedDRA: Urticaria — Feeling: GoodFree text: More hivesMedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Survey response — 3 months, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Possible stomach cancerMedDRA releases: 2024-11 · check-in free text available
- 2022-11-29
- 2023-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | No |
| 2 | 2021-02-04 | Pfizer-BioNTech | No |
| 3 | 2021-10-30 | Pfizer-BioNTech | No |
| 4 | 2022-05-31 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Itchy spots on my left forearm, below where I got the shot.
Systemic reaction (other): I have had several eruptions of hives, on my neck, hip, and arm. It's not a rash, it's raised itchy bumps.
Systemic reaction (other): I have more hives today, on my forehead and my leg. I had hives for 3 months after my first booster but did not connect them with the shot.
Systemic reaction (other): Still dealing with hives!
Systemic reaction (other): More hives overnight, on my knee and forearm. The itching makes it hard to sleep.
Release 11 — day 7, dose 4
Systemic reaction (other): More hives, this time on my chest. Happened in the daytime, not at night.
Release 12 — day 14, dose 4
Symptoms: More hives - on my back, face, arms.
Release 12 — day 28, dose 4
Symptoms: Lots of seborrheic keratosis spots suddenly on my back, some itchies as well.
Healthcare visit (other): Appointment with dermatologist
Release 12 — day 42, dose 4
Symptoms: More hives
Release 12 — 3 months, dose 4
Symptoms: Possible stomach cancer
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Seborrhoeic keratosis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash papular | · | · | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release