35Z-33821-33820
3 vaccinations
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 851 / AZ
- Registered
- 2021-10-12
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Dose 2 — Pfizer-BioNTech
-
2021-10-11
Dose 3 — Pfizer-BioNTech
-
2021-10-12
Registered in v-safe
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-17
- 2021-10-18
-
2021-10-25
Survey response — day 14, dose 3MedDRA: Rash — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have been bracking out in a rash all over my bodyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — day 21, dose 3MedDRA: Pruritus, Rash, Rash pruritic — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have been breaking out in rashes all through my body with extreme itchinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — day 28, dose 3MedDRA: Pruritus, Rash — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have been breaking out in rashes all over my body excessive itchingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
-
2021-11-24
Survey response — day 42, dose 3MedDRA: Office visit, Rash pruritic, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: I have been getting hives a bad itchiness rashes · Healthcare visit (other): See8ng a allergenMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-01-10
Survey response — 3 months, dose 3MedDRA: Feeling hot, Pre-existing disease, Rash, Rash erythematous, Skin discolouration, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have been getting allergies all through my body it's a rash/hives red patches they get really hot and they tend to hurt after the redness disappears they look like bruisesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | No |
| 2 | 2021-03-17 | Pfizer-BioNTech | No |
| 3 | 2021-10-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 14, dose 3
Symptoms: I have been bracking out in a rash all over my body
Release 10 — day 21, dose 3
Symptoms: I have been breaking out in rashes all through my body with extreme itchiness
Release 10 — day 28, dose 3
Symptoms: I have been breaking out in rashes all over my body excessive itching
Release 10 — day 42, dose 3
Symptoms: I have been getting hives a bad itchiness rashes
Healthcare visit (other): See8ng a allergen
Release 10 — 3 months, dose 3
Symptoms: I have been getting allergies all through my body it's a rash/hives red patches they get really hot and they tend to hurt after the redness disappears they look like bruises
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 | Feeling hot | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release