3KU-16651-04123
3 vaccinations
3 coded responses
4 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 731 / OK
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Pfizer-BioNTech
-
2021-02-19
Dose 2 — Pfizer-BioNTech
-
2021-05-04
Registered in v-safe
-
2021-05-21
Survey response — 3 months, dose 2MedDRA: Eczema, Pityriasis rosea, Rash, Rash morbilliform — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Morbilliform Rash shortly after my second shot followed by another rash that was like Pityriasis Rosea and/or eczema.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-20
Dose 3 — Pfizer-BioNTech
- 2021-08-20
-
2021-09-30
Survey response — day 35, dose 3MedDRA: Rash, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A rash that developed after 3-4 weeks of my first two doses has returned.MedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-01
Survey response — day 42, dose 3MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: A rash that I got shortly after my initial two doses back at the beginning on the year is back. Trying to get into a doctor to have them look at it. · Healthcare visit (other): Went to my PCP and a dermatologist last time and was put on 4 rounds of steroids. Trying to schedule an appointment again to see someone.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-08-20 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 8 — 3 months, dose 2
Symptoms: Morbilliform Rash shortly after my second shot followed by another rash that was like Pityriasis Rosea and/or eczema.
Release 9 — day 35, dose 3
Symptoms: A rash that developed after 3-4 weeks of my first two doses has returned.
Release 9 — day 42, dose 3
Symptoms: A rash that I got shortly after my initial two doses back at the beginning on the year is back. Trying to get into a doctor to have them look at it.
Healthcare visit (other): Went to my PCP and a dermatologist last time and was put on 4 rounds of steroids. Trying to schedule an appointment again to see someone.
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 | Eczema | ✓ | ✓ | ✓ |
| SD | Pityriasis rosea | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash morbilliform | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release