5MS-23929-58944
4 vaccinations
6 coded responses
42 check-ins
6 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 913 / CA
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-04-26
Registered in v-safe
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2021-04-26
Dose 1 — Pfizer-BioNTech
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2021-04-26
Survey response — day 0, dose 1MedDRA: Urinary retention — Feeling: Fair · Site: Swelling · DiarrheaFree text: Feeling like I have to urinate but cantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea · Be unable to workAdult check-in
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2021-04-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
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2021-05-10
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: A rash appeared on my forehead above my nose/in between my eyes and similar looking area on my left cheek. Came and went over 48hrs, no obvious reason known.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Dose 2 — Pfizer-BioNTech
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-08-16
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2021-11-16
Survey response — 6 months, dose 2MedDRA: Dry skin, Office visit, Urticaria — 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 · Outpatient clinic or urgent care clinic visitFree text: My skin has been dry and I have had hives on and off since October 22. Hives got so bad I had to go to the doctor on October 25. Never had hives or skin this dry before this experience.MedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-17
Call successfulDoes not wish to fill out VAERS report
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2021-12-07
Dose 3 — Moderna
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2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
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2021-12-21
Survey response — day 14, dose 3MedDRA: Dermatitis, Dry skin, Erythema, Penile dermatitis, Rash, Skin fissures, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Skin rashes appeared on the right side of my scalp and penis. Very dry and cracked skin in those areas with red inflammation around the cracked areas. Never experienced before. · Healthcare visit (other): In person appointment scheduled January with doctorMedDRA releases: 2024-11 · check-in free text available
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2021-12-21
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-22
- 2021-12-28
- 2022-01-04
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2022-01-11
Survey response — day 35, dose 3MedDRA: Penile dermatitis, Psoriasis, Rash — 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 · Telehealth, virtual health, or email health consultationFree text: Psoriasis like rash on scalp and behind head of penis.MedDRA releases: 2024-11 · check-in free text available
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2022-01-11
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-12
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2022-01-13
Callback requested for12:00PM ET
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2022-01-13
Call successfulCompleted over the phone
- 2022-01-18
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2022-03-08
Survey response — 3 months, dose 3MedDRA: Dry skin, Pre-existing disease, Psoriasis — 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 · Telehealth, virtual health, or email health consultationFree text: New areas of psoriasis on my left foot, right knee, and penis in addition to the outbreaks on my scalp. Dry skin on my sides but no cracking or flaking like other areas.MedDRA releases: 2024-11 · check-in free text available
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2022-03-08
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-09
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2022-10-04
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-10-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Joint pains, Muscle or body achesAdult check-in
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2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Joint painsAdult check-in
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-17
- 2023-01-03
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Pfizer-BioNTech | |
| 2 | 2021-05-17 | Pfizer-BioNTech | |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-10-04 | Pfizer-BioNTech | Flu |
Call center
4 call center cases
3 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Feeling like I have to urinate but cant
Release 8 — day 14, dose 1
Symptoms: A rash appeared on my forehead above my nose/in between my eyes and similar looking area on my left cheek. Came and went over 48hrs, no obvious reason known.
Release 10 — 6 months, dose 2
Symptoms: My skin has been dry and I have had hives on and off since October 22. Hives got so bad I had to go to the doctor on October 25. Never had hives or skin this dry before this experience.
Release 10 — day 14, dose 3
Symptoms: Skin rashes appeared on the right side of my scalp and penis. Very dry and cracked skin in those areas with red inflammation around the cracked areas. Never experienced before.
Healthcare visit (other): In person appointment scheduled January with doctor
Release 10 — day 35, dose 3
Symptoms: Psoriasis like rash on scalp and behind head of penis.
Release 11 — 3 months, dose 3
Symptoms: New areas of psoriasis on my left foot, right knee, and penis in addition to the outbreaks on my scalp. Dry skin on my sides but no cracking or flaking like other areas.
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 | Unevaluable event | · | · | ✓ |
| SD | Dermatitis | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Penile dermatitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Psoriasis | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin fissures | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Urinary retention | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release