58R-33879-15953
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 236 / VA
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-21
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2020-12-22
-
2021-01-03
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · NauseaFree text: Pregnancy post vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-04
-
2021-01-13
Survey response — day 21, dose 1MedDRA: Dermatitis, Dermatitis contact, Oral herpes, Rash, Skin ulcer, Ulcer — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Contact dermatitis causing rashes and sores on my hands, feet, knees, hips, scalp, and arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-06
Call successfulCompleted over the phone
- 2021-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-13 | Successful 2021-02-06 |
Completed over the phone |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Pregnancy post vaccination
Release 1 — day 21, dose 1
Symptoms: Contact dermatitis causing rashes and sores on my hands, feet, knees, hips, scalp, and arms.
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 | Dermatitis | ○ | ✓ | ○ |
| SD | Dermatitis contact | ✓ | · | ✓ |
| SD | Oral herpes | ○ | ✓ | ○ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin ulcer | ✓ | · | ✓ |
| SD | Ulcer | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release