6AH-89736-15056
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 142 / NY
- Registered
- 2020-12-18
- Relationship
- Self
Timeline
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2020-12-17
Dose 1 — Pfizer-BioNTech
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2020-12-18
Registered in v-safe
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2020-12-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Chills, Joint painsAdult check-in
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-21
- 2020-12-22
- 2020-12-23
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2020-12-26
Survey response — day 7, dose 1MedDRA: Balanoposthitis, Penile dermatitis, Rash, Self-medication — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): It's a rash on my back and glans penis . Never happened before , started after day 1 and increased · Healthcare visit (other): I am a doctor , used over the counter hydrocortisone for glans penis rash for balanitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-26
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-03
Survey response — day 14, dose 1MedDRA: Office visit, Penile dermatitis, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Still has persistent rash and itch on my back . This came after 36 hrs from the vaccination . - a rash on my gland penis . After 3-4 days of vaccination . Visited a dermatologist and used steroid cream . Back rash same , glans penis resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-05
Dose 2 — Pfizer-BioNTech
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2021-01-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
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2021-01-07
Call successfulCompleted over the phone
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2021-02-02
Survey response — day 28, dose 2MedDRA: Medical counselling, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My rashes had worsened . Had to consult dermatologist, amd I was given ingrates up all steroidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Cough
Release 1 — day 7, dose 1
Systemic reaction (other): It's a rash on my back and glans penis . Never happened before , started after day 1 and increased
Healthcare visit (other): I am a doctor , used over the counter hydrocortisone for glans penis rash for balanitis
Release 1 — day 14, dose 1
Symptoms: Still has persistent rash and itch on my back . This came after 36 hrs from the vaccination . - a rash on my gland penis . After 3-4 days of vaccination . Visited a dermatologist and used steroid cream . Back rash same , glans penis resolved
Release 3 — day 28, dose 2
Symptoms: My rashes had worsened . Had to consult dermatologist, amd I was given ingrates up all steroids
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 | Balanoposthitis | ✓ | ✓ | ✓ |
| HCVO | Penile dermatitis | ✓ | ✓ | ✓ |
| HCVO | Rash | ○ | ○ | ○ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Penile dermatitis | ✓ | ✓ | ✓ |
| SD | Pruritus | ○ | ○ | ○ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Penile dermatitis | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release