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YWC-12894-79536

3 vaccinations 5 coded responses 17 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
109 / NY
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-12
    Registered in v-safe
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discolouration, Injection site haemorrhage — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: Bled when vaccine was injected. Big black and blue at injection site. Im not sure if the symptoms are caused by the black and blue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: Im on Humira for ulcerative colitis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Colitis ulcerative — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: Im on Humira for ulcerative colitis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Colitis ulcerative — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: Im on Humira for ulcerative colitis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · None
    Adult check-in
  9. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Injection site mass, Injection site pruritus, Injection site rash, Injection site warmth, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Since taking the Covid vaccine, every time I take my Humira shot I develop a lump and rash around where the Humira was injected. It itches and feels hot. It lasts about a week. I never had this reaction before the Covid Vaccine. · Healthcare visit (other): Called Humira and am going to call my doctor to see if I can continue taking Humira. I take it for colitis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-09-08
    Dose 3 — Pfizer-BioNTech
  17. 2021-10-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-10-06
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  19. 2021-10-14
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  20. 2021-10-21
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  21. 2021-12-10
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  22. 2022-03-09
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  23. 2022-04-15

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Pfizer-BioNTech
22021-02-10Pfizer-BioNTech
32021-09-08Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-13 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Bled when vaccine was injected. Big black and blue at injection site. Im not sure if the symptoms are caused by the black and blue.

2021-02-14

Systemic reaction (other): Im on Humira for ulcerative colitis.

2021-02-15

Systemic reaction (other): Im on Humira for ulcerative colitis.

2021-02-16

Systemic reaction (other): Im on Humira for ulcerative colitis.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Since taking the Covid vaccine, every time I take my Humira shot I develop a lump and rash around where the Humira was injected. It itches and feels hot. It lasts about a week. I never had this reaction before the Covid Vaccine.
Healthcare visit (other): Called Humira and am going to call my doctor to see if I can continue taking Humira. I take it for colitis.

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
HCVOMedical counselling ✓ ✓ ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROColitis ulcerative ✓ ✓ ✓
SROInjection site discolouration ✓ ✓ ✓
SROInjection site haemorrhage ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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