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YH6-70613-51014

1 vaccination 7 coded responses 10 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
360 / AL
Registered
2021-02-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-26
    Registered in v-safe
  3. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Rash over 90 % of my body. Not breaking the skin. No itching or swelling. Just very concerning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash, Tongue ulceration — Feeling: Fair · Chills, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: I have an ulcer on my tongue that happened yesterday with the rash. The rash is still VERY visible, but no itching ,swelling or breathing problem.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-03-10
    Survey response — day 14, dose 1
    MedDRA: Pre-existing disease, Rash, Swelling, Tenderness — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Recurring rash with swelling and tenderness.I was diagnosed Covid 19 on September 1st, 2020.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-10
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-17
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-03-24
    Survey response — day 28, dose 1
    MedDRA: Rash, Skin wound, Tenderness — Feeling: Fair
    Free text: The rash that covered my body has lessened except for two spots on each leg. They arr sore to the touch and one of them has broken through the skin with clear liquid leaking. I am treating it with polysporin for now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-31
    Survey response — day 35, dose 1
    MedDRA: Fatigue, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have two of the spots with the rash break through the skin. Multiple days of polysporin and still not completely healed. I began a epsom salt and vinegar soak and am seeing some improvement. I still have bouts of extreme fatigue daily.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-08
    Survey response — day 42, dose 1
    MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: There is still one spot on my leg that has not healed from the rash outbreak .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-08
    Report sent to call center — day 42, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-10-13
  15. 2022-02-24
    Survey response — 12 months, dose 1
    MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Periodic breakouts of rash that developed after the first vaccine. · Healthcare visit (other): Primary care.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-24
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2022-02-25
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-03-10 Successful Completed over the phone
2021-04-08 Successful Completed over the phone
2022-02-24 Successful
2022-02-25
Completed over the phone

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Rash over 90 % of my body. Not breaking the skin. No itching or swelling. Just very concerning.

2021-02-27

Systemic reaction (other): I have an ulcer on my tongue that happened yesterday with the rash. The rash is still VERY visible, but no itching ,swelling or breathing problem.

Release 5 — day 14, dose 1

2021-03-10

Symptoms: Recurring rash with swelling and tenderness.I was diagnosed Covid 19 on September 1st, 2020.

Release 6 — day 28, dose 1

2021-03-24

Symptoms: The rash that covered my body has lessened except for two spots on each leg. They arr sore to the touch and one of them has broken through the skin with clear liquid leaking. I am treating it with polysporin for now

Release 6 — day 35, dose 1

2021-03-31

Symptoms: I have two of the spots with the rash break through the skin. Multiple days of polysporin and still not completely healed. I began a epsom salt and vinegar soak and am seeing some improvement. I still have bouts of extreme fatigue daily.

Release 7 — day 42, dose 1

2021-04-08

Symptoms: There is still one spot on my leg that has not healed from the rash outbreak .

Release 11 — 12 months, dose 1

2022-02-24

Symptoms: Periodic breakouts of rash that developed after the first vaccine.
Healthcare visit (other): Primary care.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDFatigue ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSkin wound ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROTongue ulceration ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release