YPC-13383-72866
3 vaccinations
1 coded response
13 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 231 / VA
- Registered
- 2021-05-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Dose 2 — Pfizer-BioNTech
-
2021-05-18
Registered in v-safe
-
2021-05-18
Survey response — day 35, dose 2MedDRA: Office visit, Pityriasis rosea, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash that started one werk ago. Not itchy and no other stmptoms. Went to the doctor today and was diagnosed with Pityriasis Rosea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-03
Dose 3 — Moderna
- 2021-12-05
- 2021-12-06
-
2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-12-09
- 2021-12-12
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
-
2022-05-11
Call successfulNot applicable - Accidental Reporting
- 2022-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | |
| 2 | 2021-04-10 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-18 | Successful 2022-05-11 |
Not applicable - Accidental Reporting |
Free text
Release 8 — day 35, dose 2
Symptoms: Rash that started one werk ago. Not itchy and no other stmptoms. Went to the doctor today and was diagnosed with Pityriasis Rosea.
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 |
|---|---|---|---|---|
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pityriasis rosea | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release