Z86-18194-21227
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 295 / SC
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Pfizer-BioNTech
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-19
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Rash more like HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-05-05
Survey response — 3 months, dose 2MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed a rash 7 days after 2nd shot and still have recurring problems. Dermatologist is stumped. Using multiple steroid creams and Dupixant shots. · Healthcare visit (other): Bi-weekly dermatology office visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-04
Survey response — 6 months, dose 2MedDRA: Blister, Dermatitis, Hypersensitivity, Office visit, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continued accurate dermatitis as allergic reaction to the Pfizer shot in February. Still severe raw blisters appearing on both hands and uncontrollable rash in legs. Dermatologist is baffled as to how to treat.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-04
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
- 2021-08-12
-
2021-08-17
Call successfulParticipant prefers to complete VAERS report online
-
2021-08-17
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Successful 2021-08-17 |
Participant prefers to complete VAERS report online |
| 2021-08-04 | Successful 2021-08-17 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Rash more like Hives
Release 8 — 3 months, dose 2
Symptoms: Developed a rash 7 days after 2nd shot and still have recurring problems. Dermatologist is stumped. Using multiple steroid creams and Dupixant shots.
Healthcare visit (other): Bi-weekly dermatology office visits
Release 9 — 6 months, dose 2
Symptoms: Continued accurate dermatitis as allergic reaction to the Pfizer shot in February. Still severe raw blisters appearing on both hands and uncontrollable rash in legs. Dermatologist is baffled as to how to treat.
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 | Dermatitis | ✓ | · | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release