378-11109-54480
2 vaccinations
9 coded responses
22 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 958 / CA
- Registered
- 2021-08-23
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6R8-19474-81853
Other · Male · 2021-08-23
Timeline
-
2021-08-22
Dose 1 — Pfizer-BioNTech
-
2021-08-23
Registered in v-safe
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2021-08-24
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, DiarrheaFree text: ItchinessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-25
- 2021-08-26
- 2021-08-28
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2021-08-29
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: Poor · Site: Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: HivesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-05
Survey response — day 14, dose 1MedDRA: Medical counselling, Pruritus, Rash, Urticaria — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had hives and rashes. But, constant itchiness all over my body until now even if I take medication and apply ointment to clear out itchiness advise by the physician; I dont know if I should continue the second vaccination cos it might get worse.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-05
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
-
2021-09-07
Call successfulParticipant prefers to complete VAERS report online
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2021-09-12
Survey response — day 21, dose 1MedDRA: Pruritus, Rash — Feeling: FairFree text: Still Itchiness and rashesMedDRA releases: 2024-11 · check-in free text available
-
2021-09-21
Dose 2 — Janssen/Johnson & Johnson
- 2021-09-21
-
2021-09-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-09-23
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2021-09-24
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Heart rate increased, Hypoaesthesia — Feeling: Poor · Nausea, Diarrhea · Be unable to work or attend schoolFree text: Numbness of hands, fast heartbeat, trouble in breathingMedDRA releases: 2024-11 · check-in free text available
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2021-09-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, NauseaAdult check-in
- 2021-09-27
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2021-09-28
Survey response — day 7, dose 2MedDRA: Heart rate increased — Feeling: Good · Site: ItchingFree text: Fast heartbeat every night 12mn-6am starting last weekMedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Survey response — day 14, dose 2MedDRA: Heart rate increased — Feeling: GoodFree text: I'm having fast heartbeat every night w/o any reasons.MedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Survey response — day 21, dose 2MedDRA: Pruritus — Feeling: FairFree text: Itchiness of body esp my handsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
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2021-10-26
Survey response — day 35, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Very itchy bodyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-12-21
- 2022-03-24
- 2022-09-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-22 | Pfizer-BioNTech | No |
| 2 | 2021-09-21 | Janssen/Johnson & Johnson | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Itchiness
Release 9 — day 7, dose 1
Systemic reaction (other): Hives
Release 9 — day 14, dose 1
Symptoms: I had hives and rashes. But, constant itchiness all over my body until now even if I take medication and apply ointment to clear out itchiness advise by the physician; I dont know if I should continue the second vaccination cos it might get worse.
Release 9 — day 21, dose 1
Symptoms: Still Itchiness and rashes
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness of hands, fast heartbeat, trouble in breathing
Release 9 — day 7, dose 2
Systemic reaction (other): Fast heartbeat every night 12mn-6am starting last week
Release 10 — day 14, dose 2
Symptoms: I'm having fast heartbeat every night w/o any reasons.
Release 10 — day 21, dose 2
Symptoms: Itchiness of body esp my hands
Release 10 — day 35, dose 2
Symptoms: Very itchy body
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 |
|---|---|---|---|---|
| SD | Heart rate increased | · | · | ✓ |
| SD | Medical counselling | ✓ | · | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Urticaria | ✓ | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Pruritus | ✓ | · | ✓ |
| SRO | Urticaria | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release