4MH-21015-61299
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 282 / NC
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-13
Survey response — day 35, dose 2MedDRA: Pruritus, Skin exfoliation — Feeling: GoodFree text: For past 3 weeks have had flaky, itchy scalp & skin on face, ears, neck & arm. Definitely associated w/vaccine & is improving slowly now. Saw other photos online & made the connection. Almost went to doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-04-12
-
2021-07-10
Survey response — 6 months, dose 2MedDRA: Hypersensitivity, Skin disorder, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have continued to have skin issues. My allergist did a biopsy & there has to be an ingredient in the vaccine that caused my allergic reaction. It must have a long half life because this has been going on since January. It is almost done ravaging me · Healthcare visit (other): PCP, dermatologist & allergy drMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-10
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-16
- 2022-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 35, dose 2
Symptoms: For past 3 weeks have had flaky, itchy scalp & skin on face, ears, neck & arm. Definitely associated w/vaccine & is improving slowly now. Saw other photos online & made the connection. Almost went to doctor
Release 9 — 6 months, dose 2
Symptoms: I have continued to have skin issues. My allergist did a biopsy & there has to be an ingredient in the vaccine that caused my allergic reaction. It must have a long half life because this has been going on since January. It is almost done ravaging me cut off by CDC
Healthcare visit (other): PCP, dermatologist & allergy dr
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 | ○ | ○ | ○ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin disorder | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release