Y5D-33476-29830
2 vaccinations
4 coded responses
6 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 640 / MO
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Pfizer-BioNTech
-
2021-02-27
Dose 2 — Pfizer-BioNTech
-
2021-03-01
Registered in v-safe
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Blister, Pruritus, Rash — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Rash/blisters/itching on left hand knucklesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — day 14, dose 1MedDRA: Blister, Rash — Feeling: FairFree text: Rash/blisters on knuckles. Left hand is more severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Blister, Emergency care, Pruritus, Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Blisters/rash/itching on knuckles, fingers, and palms. Sore ankles, knees and shoulders. Called primary care dr. Advised to go to ER. Clueless about blisters/rash. Said it looks viral. Prescribed stronger topical cream and benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-06
Survey response — day 7, dose 2MedDRA: Blister, Night sweats, Office visit, Rash — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Systemic reaction (other): Went to dr for rash/blisters on hands/palms/elbows with fever/night sweats which started Monday after 2nd shot on Saturday. · Healthcare visit (other): In person Dr office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-15
- 2021-03-20
-
2021-12-08
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-02-27 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-02 | Successful | Completed over the phone |
| 2021-03-06 | Successful 2021-12-08 |
Completed over the phone |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rash/blisters/itching on left hand knuckles
Release 4 — day 14, dose 1
Symptoms: Rash/blisters on knuckles. Left hand is more severe.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Blisters/rash/itching on knuckles, fingers, and palms. Sore ankles, knees and shoulders. Called primary care dr. Advised to go to ER. Clueless about blisters/rash. Said it looks viral. Prescribed stronger topical cream and benadryl.
Release 5 — day 7, dose 2
Systemic reaction (other): Went to dr for rash/blisters on hands/palms/elbows with fever/night sweats which started Monday after 2nd shot on Saturday.
Healthcare visit (other): In person Dr office visit
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 | Rash | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release