34W-11441-47480
5 vaccinations
8 coded responses
39 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 852 / AZ
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-02
Dose 1 — Pfizer-BioNTech
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2021-03-03
Registered in v-safe
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have an auto-immune skin condition. It flared up 36 hours post vaccine. Not sure if they are related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Autoimmune disorder, Condition aggravated, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have auto-immune skin rash and it flared 36 hours after the vaccine. No idea if it is relatrd.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have an autoimmune rash. It flared up 36 hours post vaccine. Unsure if they are related or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have an auto-immune skin rash. It flared up 36 hours after the vaccine. I do not know if the two events are related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have an auto-immune skin condition which flared 36 hours after the vaccine. No idea if they are related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-04-01
- 2021-04-07
- 2021-04-13
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2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-02
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-07
Survey response — day 14, dose 2MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Expanding skin rash which may or may not be aggrivated by the vaccine. · Healthcare visit (other): Primary care doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
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2021-06-17
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-22
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2021-12-26
Dose 3 — Moderna
- 2022-04-23
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2022-05-16
Dose 4 — Moderna
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2022-09-19
Dose 5 — Moderna
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-11-02
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2022-12-19
Survey response — 3 months, dose 5MedDRA: Adverse reaction — Feeling: GoodFree text: Allergy like symptoms.MedDRA releases: 2024-11 · check-in free text available
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2023-03-22
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-12-26 | Moderna | No |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2022-09-19 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have an auto-immune skin condition. It flared up 36 hours post vaccine. Not sure if they are related.
Systemic reaction (other): I have auto-immune skin rash and it flared 36 hours after the vaccine. No idea if it is relatrd.
Systemic reaction (other): I have an autoimmune rash. It flared up 36 hours post vaccine. Unsure if they are related or not.
Systemic reaction (other): I have an auto-immune skin rash. It flared up 36 hours after the vaccine. I do not know if the two events are related.
Release 5 — day 7, dose 1
Systemic reaction (other): I have an auto-immune skin condition which flared 36 hours after the vaccine. No idea if they are related.
Release 8 — day 14, dose 2
Symptoms: Expanding skin rash which may or may not be aggrivated by the vaccine.
Healthcare visit (other): Primary care doctor
Release 12 — 3 months, dose 5
Symptoms: Allergy like symptoms.
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 | Adverse reaction | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Autoimmune disorder | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release