4A3-50086-80213
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 671 / KS
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-23
Health check-in — day 7, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-30
-
2021-02-06
Dose 2 — Pfizer-BioNTech
-
2021-02-13
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-20
Survey response — day 14, dose 2MedDRA: Rash — Feeling: FairFree text: Rash is slightly worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 21, dose 2MedDRA: Office visit, Pain of skin, Pruritus, Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hives/rash that comes and goes ever since the vaccine. Skin itchy and sensitive to touch and breaks out in hives when touched or scratched. Saw physician 2/23/21. Started Zyrtec once a day. No hives since 2/25/21. · Healthcare visit (other): Regular Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-06
Survey response — day 28, dose 2MedDRA: Rash, Self-medication — Feeling: GoodFree text: Still have light rash unless I take Zyrtec antihistamineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 35, dose 2MedDRA: Self-medication, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hives but controlled by daily ZyrtecMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-20
Survey response — day 42, dose 2MedDRA: Arthralgia, Back pain — Feeling: Good · 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: Severe back and joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-08
- 2021-08-08
- 2021-11-13
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2022-02-06
Survey response — 12 months, dose 2MedDRA: Decreased appetite, Fatigue, Rash, Urticaria — Feeling: Fair · 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: Slight rash from original vaccination has developed into consistent rash/hives and wider area, fatigue, loss of appetite after boosterMedDRA releases: 2024-11 · check-in free text available
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2022-02-06
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 2
Symptoms: Rash is slightly worse.
Release 4 — day 21, dose 2
Symptoms: Hives/rash that comes and goes ever since the vaccine. Skin itchy and sensitive to touch and breaks out in hives when touched or scratched. Saw physician 2/23/21. Started Zyrtec once a day. No hives since 2/25/21.
Healthcare visit (other): Regular Office visit
Release 5 — day 28, dose 2
Symptoms: Still have light rash unless I take Zyrtec antihistamine
Release 5 — day 35, dose 2
Symptoms: Hives but controlled by daily Zyrtec
Release 6 — day 42, dose 2
Symptoms: Severe back and joint pain
Release 11 — 12 months, dose 2
Symptoms: Slight rash from original vaccination has developed into consistent rash/hives and wider area, fatigue, loss of appetite after booster
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release