4GC-25816-03965
3 vaccinations
3 coded responses
10 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 041 / ME
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Pfizer-BioNTech
-
2021-04-21
Dose 2 — Pfizer-BioNTech
-
2021-05-07
Registered in v-safe
-
2021-05-07
Survey response — day 14, dose 2MedDRA: Autoimmune disorder, Condition aggravated, Pre-existing disease, Urticaria — Feeling: FairFree text: Hives in the areas were tight fitting clothes are. Belt area. I have had an underlying autoimmune disorder where I get hit spots and hives if I do not take Zyrtec ever 3-4 days. I now have to take daily to keep them manageable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
-
2021-05-20
Survey response — day 28, dose 2MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hives have become worse. Have been put on a tapered prednisone corse. Starting with 60 mg per day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-26
-
2021-06-02
Survey response — day 42, dose 2MedDRA: Self-medication, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Finished the coarse of prednisone and hive have returned. Have not been able to manage them without Zyrtec and bengals have to benaydrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-10-21
-
2021-12-20
Dose 3 — Moderna
- 2022-02-10
-
2022-02-14
Call successfulCompleted over the phone
- 2022-04-24
- 2022-06-20
- 2022-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-12-20 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 8 — day 14, dose 2
Symptoms: Hives in the areas were tight fitting clothes are. Belt area. I have had an underlying autoimmune disorder where I get hit spots and hives if I do not take Zyrtec ever 3-4 days. I now have to take daily to keep them manageable.
Release 8 — day 28, dose 2
Symptoms: Hives have become worse. Have been put on a tapered prednisone corse. Starting with 60 mg per day.
Release 8 — day 42, dose 2
Symptoms: Finished the coarse of prednisone and hive have returned. Have not been able to manage them without Zyrtec and bengals have to benaydryl
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 | Autoimmune disorder | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release