Y62-13191-95196
1 vaccination
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 117 / NY
- Registered
- 2021-10-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-10-18
Registered in v-safe
-
2021-10-18
Dose 1 — Pfizer-BioNTech
- 2021-10-18
- 2021-10-19
- 2021-10-20
- 2021-10-21
- 2021-10-22
- 2021-10-23
- 2021-10-24
- 2021-10-25
-
2021-11-01
Survey response — day 14, dose 1MedDRA: Pruritus, Rash, Rash pruritic, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Got a rash all over my chest,back,underarms very itchy. · Healthcare visit (other): They gave me a steroid and told me to take benadryl for the itching.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-03
-
2021-11-08
Survey response — day 21, dose 1MedDRA: Rash — Feeling: FairFree text: Rash all over my chest, back ,arms for a week now.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
-
2021-11-22
Survey response — day 35, dose 1MedDRA: Rash, Rash pruritic — Feeling: FairFree text: I still have the rash on my chest, underarms, and back it is still very itchy. I'm seeing a dermatologist on Tues to see if it was from the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
-
2022-04-20
Survey response — 6 months, dose 1MedDRA: Alopecia — Feeling: FairFree text: Since October I've been having hair loss and have been getting treated for alopecia since JanuaryMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-01 | Unsuccessful |
Free text
Release 10 — day 14, dose 1
Symptoms: Got a rash all over my chest,back,underarms very itchy.
Healthcare visit (other): They gave me a steroid and told me to take benadryl for the itching.
Release 10 — day 21, dose 1
Symptoms: Rash all over my chest, back ,arms for a week now.
Release 10 — day 35, dose 1
Symptoms: I still have the rash on my chest, underarms, and back it is still very itchy. I'm seeing a dermatologist on Tues to see if it was from the vaccine.
Release 11 — 6 months, dose 1
Symptoms: Since October I've been having hair loss and have been getting treated for alopecia since January
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 | Pruritus | · | · | ✓ |
| HCVO | Self-medication | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release