4TJ-30364-33651

4 vaccinations 13 coded responses 22 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 946 / CA
Registered: 2021-04-29

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-29
Registered in v-safe
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Survey response — day 0, dose 2
MedDRA: Rash, Self-medication — Feeling: Fair

Free text: I have developed rash on my back and chest after the first shot, and have taken over-counter's antihistamine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care — Feeling: Poor · Site: Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: A emergency doctor helped me because the medicines that I got from my family doctor were not working.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Fair · Site: Itching · 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

Free text: My family doctors prescriptions were not working for my server delayed rash that I took last Friday. Luckily my neighbor was an emergency doctor who came to inspect me then gave my husband a prescription to get the medicine in a local pharmacy. I took it and its been feeling much better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good

Free text: Thank you. I am doing well and has completed recovery from the rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 14, dose 2
MedDRA: Rash erythematous — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: After 10 days of my 1st shot, I got rash which I have reported to your organization. The rash was getting better before my 2nd shot on 4/29. After my 2nd shot my rash was almost gone. However, the rash came back after the 2nd shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 21, dose 2
MedDRA: Impaired work ability, Insomnia, Rash — Feeling: Poor · 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

Free text: My rash have gotten worst then the 1st shot and need to take more medicines. I have been not be able to sleep and work since my rash started. I think you need to have a guidance to warn people how to hand the rash if they have it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Rash pruritic, Self-medication — Feeling: Fair

Free text: I finished my 15 days prednisone medication from last Thursday. I felt good but the itchy rash has appeared on me again from last Sunday. I have started taking antihistamines again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Loss of personal independence in daily activities, Lymphadenopathy, Office visit, Rash, Unevaluable event — Feeling: Poor · Be unable to work or attend school, 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 visit

Free text: Symptoms: I still have the rash. It has affected my daily life and my work. I visited my doctor last Friday because my necks lymph nodes are still swollen. Are there Anu ways to stop it? I dont think I will take a booster shot. · Healthcare visit (other): Plan to see a Chinese medicine doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-09
Call 1 — Could Not Reach Participant
2021-08-12
Call successful
Participant prefers to complete VAERS report online
2021-08-12
Call successful
Participant prefers to complete VAERS report online
2021-08-12
Call successful
Participant prefers to complete VAERS report online
2021-08-12
Call successful
Participant prefers to complete VAERS report online
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Call successful
Participant prefers to complete VAERS report online
2021-12-01
Dose 3 — Pfizer-BioNTech
2022-04-29
Survey response — 12 months, dose 2
MedDRA: Lymphadenopathy, Rash — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rashes came back after my 1st booster shot on 12/1/2021. It took one and a half months to get heal. The rashes always started from the back of my neck and swollen glands on my right side of neck then my body abs arms. Shall I get the 2nd booster?

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Dose 4 — Pfizer-BioNTech
2022-06-01
Survey response — day 21, dose 4
MedDRA: Food intolerance, Gingival pain, Gingival swelling, Pruritus, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: After 7 days of my 2nd booster shot, the rashes have come back in my lower back area. Less itching w/o pain. My gums in my mouth have been very sensitive after the shots. My gums got swollen after have spiced foods. Cannot have any spicy foods.

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-11
Survey response — day 35, dose 4
MedDRA: Gingival swelling, Parosmia, Rash — Feeling: Poor · Be unable to do your normal daily activities

Free text: My smell has become super sensitive. Couldn't have any spicy foods even just a bit black peppers. My gums in my mouth will get swollen and rashes will appears on my body but they are mild than before.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — 6 months, dose 4
MedDRA: COVID-19, Chest pain, Loss of personal independence in daily activities, Office visit, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have developed symptoms of palpations, chest pains after getting Covid on 8/21/2022. Had EKG and treadmill tests. Got a CT scan on 11/04/2020. The result was normal. My daily life has been affected by these symptoms · Healthcare visit (other): Visited my doctor

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2023-05-09
Survey response — 12 months, dose 4
MedDRA: Atrial fibrillation, Chest pain, Impaired work ability — 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 consultation

MedDRA releases: 2024-11
2023-05-09
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-10
Call 1 — Requested Callback
2023-05-17
Call 2 — Requested Callback
2023-05-17
Call successful
Completed over the phone
2023-05-19
Call 3 — Left Voicemail
2023-05-19
Callback requested for
07:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	No
4	2022-05-07	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): I have developed rash on my back and chest after the first shot, and have taken over-counter's antihistamine.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Healthcare visit (other): A emergency doctor helped me because the medicines that I got from my family doctor were not working.

2021-05-02

Healthcare visit (other): My family doctors prescriptions were not working for my server delayed rash that I took last Friday. Luckily my neighbor was an emergency doctor who came to inspect me then gave my husband a prescription to get the medicine in a local pharmacy. I took it and its been feeling much better now.

Release 8 — day 7, dose 2

2021-05-08

Systemic reaction (other): Thank you. I am doing well and has completed recovery from the rash.

Release 8 — day 14, dose 2

2021-05-13

Symptoms: After 10 days of my 1st shot, I got rash which I have reported to your organization. The rash was getting better before my 2nd shot on 4/29. After my 2nd shot my rash was almost gone. However, the rash came back after the 2nd shot.

Release 8 — day 21, dose 2

2021-05-20

Symptoms: My rash have gotten worst then the 1st shot and need to take more medicines. I have been not be able to sleep and work since my rash started. I think you need to have a guidance to warn people how to hand the rash if they have it.

Release 9 — day 42, dose 2

2021-06-11

Symptoms: I finished my 15 days prednisone medication from last Thursday. I felt good but the itchy rash has appeared on me again from last Sunday. I have started taking antihistamines again.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: I still have the rash. It has affected my daily life and my work. I visited my doctor last Friday because my necks lymph nodes are still swollen. Are there Anu ways to stop it? I dont think I will take a booster shot.

Healthcare visit (other): Plan to see a Chinese medicine doctor

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: Rashes came back after my 1st booster shot on 12/1/2021. It took one and a half months to get heal. The rashes always started from the back of my neck and swollen glands on my right side of neck then my body abs arms. Shall I get the 2nd booster?

Release 11 — day 21, dose 4

2022-06-01

Symptoms: After 7 days of my 2nd booster shot, the rashes have come back in my lower back area. Less itching w/o pain. My gums in my mouth have been very sensitive after the shots. My gums got swollen after have spiced foods. Cannot have any spicy foods.

Release 12 — day 35, dose 4

2022-06-11

Symptoms: My smell has become super sensitive. Couldn't have any spicy foods even just a bit black peppers. My gums in my mouth will get swollen and rashes will appears on my body but they are mild than before.

Release 12 — 6 months, dose 4

2022-11-05

Symptoms: I have developed symptoms of palpations, chest pains after getting Covid on 8/21/2022. Had EKG and treadmill tests. Got a CT scan on 11/04/2020. The result was normal. My daily life has been affected by these symptoms

Healthcare visit (other): Visited my doctor

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Food intolerance	·	·	✓
SD	Gingival pain	·	·	✓
SD	Gingival swelling	·	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Office visit	✓	·	✓
SD	Palpitations	·	·	✓
SD	Parosmia	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release