3HK-53727-59837
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 231 / VA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-01-07
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Registered in v-safe
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2021-01-14
Survey response — day 7, dose 1MedDRA: Medical counselling, Pruritus, Rash — Feeling: Poor · Site: Itching · Fever · Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Rash started two days after the injection with severe itching. Became worse five days after the injection. Itching is decreased but rash all over the body except for face still continues · Healthcare visit (other): Sent pics to dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-21
Survey response — day 14, dose 1MedDRA: Adverse drug reaction, Biopsy skin abnormal, Hepatic enzyme abnormal, Hepatic enzyme increased, Office visit, Rash, Rash pruritic, Self-medication, Specialist consultation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had a severe generalized rash, very itchy 36 hours after Biopsy confirmed- drug reaction. My liver enzymes got elevated. I had the injection on 1/7, rash appeared on 1/9, became worse and started to decline a week later, some still there. Taking AH · Healthcare visit (other): PCP and DermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-28
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2021-02-06
Survey response — day 28, dose 1MedDRA: Biopsy skin, Office visit, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Resurgence of rash on torso and upper arms but milder than before · Healthcare visit (other): Dermatologist-skin biopsiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-09
- 2022-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech |
Call center
3 call center cases
3 unsuccessful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Rash started two days after the injection with severe itching. Became worse five days after the injection. Itching is decreased but rash all over the body except for face still continues
Healthcare visit (other): Sent pics to dermatologist
Release 2 — day 14, dose 1
Symptoms: I had a severe generalized rash, very itchy 36 hours after Biopsy confirmed- drug reaction. My liver enzymes got elevated. I had the injection on 1/7, rash appeared on 1/9, became worse and started to decline a week later, some still there. Taking AH cut off by CDC
Healthcare visit (other): PCP and Dermatologist
Release 3 — day 28, dose 1
Symptoms: Resurgence of rash on torso and upper arms but milder than before
Healthcare visit (other): Dermatologist-skin biopsies
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 | Biopsy skin | ○ | ✓ | ○ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ○ | ✓ | ○ |
| SD | Adverse drug reaction | ✓ | · | ✓ |
| SD | Biopsy skin abnormal | ✓ | · | ✓ |
| SD | Hepatic enzyme abnormal | ○ | ✓ | ○ |
| SD | Hepatic enzyme increased | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release