5Q6-30313-93923
3 vaccinations
8 coded responses
11 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2021-10-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Pfizer-BioNTech
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2021-03-02
Dose 2 — Pfizer-BioNTech
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2021-10-07
Dose 3 — Pfizer-BioNTech
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2021-10-10
Registered in v-safe
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2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Blister — Feeling: Good · Site: Redness, ItchingFree text: Small blisters (arms, legs, scalp, back, breasts)MedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Blister, Headache — Feeling: Good · Site: ItchingFree text: Small blister like eruptions on torso, legs, arms and scalpseem to be getting smaller and healingMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Blister, Pruritus — Feeling: GoodFree text: Itchiness is subsiding. Small blisters on torso, arms, legs, and scalp are now drying up.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Itchiness continues on torso, legs, arms and scalpMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — day 7, dose 3MedDRA: Blister, Hot flush, Pruritus — Feeling: Good · Site: ItchingFree text: The itching continues, but small blister-like eruptions are healingMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Survey response — day 14, dose 3MedDRA: Blister, Self-medication, Urticaria — Feeling: FairFree text: My blisters and hives have gotten worse. I continue to try to treat with Benedryl and Allegra. Will see dermatologist next week it they continue.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — day 21, dose 3MedDRA: Office visit, Pruritus, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Hives got worsespread more and very itchy. Received a steroid injection, put on antibiotic skin cream and hydroxene · Healthcare visit (other): Family physicianMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-01
- 2021-11-06
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2021-11-11
Survey response — day 35, dose 3MedDRA: Dermatitis, Office visit, Pruritus, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: The itching and rash worsened. Back to dr on Tuesday this weekskin was inflamed (torso, legs and arms). Put on prednisone pack, increased hydroxyzine, and triamcinolone acetonide cream. Seems to be helping. · Healthcare visit (other): Regular family doctorMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-12
Call successfulCompleted over the phone
- 2021-11-18
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Pfizer-BioNTech | No |
| 2 | 2021-03-02 | Pfizer-BioNTech | No |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Small blisters (arms, legs, scalp, back, breasts)
Systemic reaction (other): Small blister like eruptions on torso, legs, arms and scalpseem to be getting smaller and healing
Systemic reaction (other): Itchiness is subsiding. Small blisters on torso, arms, legs, and scalp are now drying up.
Systemic reaction (other): Itchiness continues on torso, legs, arms and scalp
Release 10 — day 7, dose 3
Systemic reaction (other): The itching continues, but small blister-like eruptions are healing
Release 10 — day 14, dose 3
Symptoms: My blisters and hives have gotten worse. I continue to try to treat with Benedryl and Allegra. Will see dermatologist next week it they continue.
Release 10 — day 21, dose 3
Symptoms: Hives got worsespread more and very itchy. Received a steroid injection, put on antibiotic skin cream and hydroxene
Healthcare visit (other): Family physician
Release 10 — day 35, dose 3
Symptoms: The itching and rash worsened. Back to dr on Tuesday this weekskin was inflamed (torso, legs and arms). Put on prednisone pack, increased hydroxyzine, and triamcinolone acetonide cream. Seems to be helping.
Healthcare visit (other): Regular family 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 | Office visit | · | · | ✓ |
| SD | Blister | · | · | ✓ |
| SD | Dermatitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Blister | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release