Z9M-21715-93684

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 600 / IL
Registered: 2020-12-22

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Survey response — day 0, dose 1
MedDRA: Myalgia — Feeling: Fair · Muscle or body aches

Free text: just some muscle sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Good

Free text: rashes on both arms and both legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — day 21, dose 1
MedDRA: Pruritus, Rash — Feeling: Good

Free text: not sure because of it or not but I had rash and skin is still itching getting worse since a day after I had 1st vaccine. It has been worse so I'm using cream and pills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-01-23
Survey response — day 7, dose 2
MedDRA: Medical counselling, Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): since first shot, expecially my legs are very itch and rash gotten worse · Healthcare visit (other): had consultation and diagnoised that the itch happen as a internal problem. (first itching started Dec. 24th at night). now feels better after have a medication by allergy doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 2
MedDRA: Medical observation, Pruritus, Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: still have rash and hives with sever itching · Healthcare visit (other): keep checking with blood test. My allergy doctor said it is internal problem and looks like something switched my immune system so I have this crazy itching and hives right now. it has been over a month. started after 2 days past of I got vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 28, dose 2
MedDRA: Adverse reaction, Pruritus, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: used to have crazy itching and rash whole legs and little bit of arms and waist after two days later od first dose shot. the rash happen after scratching legs and crazy itching all day also getting worse. · Healthcare visit (other): still have since 24th of Dec 2020. and having a medication but don't know when it will gone with it or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 35, dose 2
MedDRA: Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Since I got a severe lash and hives after first dose, I still see a doctor. It most likely looks like causing of vaccine. It has been two months but I'm still taking medication and can't stop because last time it came back. it is stressful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-02
Call 1 — Left Voicemail
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-23	Unsuccessful
2021-02-04	Unsuccessful
2021-02-11	Unsuccessful
2021-02-18	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-22

Systemic reaction (other): just some muscle sore

Release 1 — day 14, dose 1

2021-01-06

Symptoms: rashes on both arms and both legs

Release 1 — day 21, dose 1

2021-01-12

Symptoms: not sure because of it or not but I had rash and skin is still itching getting worse since a day after I had 1st vaccine. It has been worse so I'm using cream and pills

Release 2 — day 7, dose 2

2021-01-23

Systemic reaction (other): since first shot, expecially my legs are very itch and rash gotten worse

Healthcare visit (other): had consultation and diagnoised that the itch happen as a internal problem. (first itching started Dec. 24th at night). now feels better after have a medication by allergy doctor

Release 3 — day 21, dose 2

2021-02-04

Symptoms: still have rash and hives with sever itching

Healthcare visit (other): keep checking with blood test. My allergy doctor said it is internal problem and looks like something switched my immune system so I have this crazy itching and hives right now. it has been over a month. started after 2 days past of I got vaccine

Release 4 — day 28, dose 2

2021-02-11

Symptoms: used to have crazy itching and rash whole legs and little bit of arms and waist after two days later od first dose shot. the rash happen after scratching legs and crazy itching all day also getting worse.

Healthcare visit (other): still have since 24th of Dec 2020. and having a medication but don't know when it will gone with it or not

Release 4 — day 35, dose 2

2021-02-18

Symptoms: Since I got a severe lash and hives after first dose, I still see a doctor. It most likely looks like causing of vaccine. It has been two months but I'm still taking medication and can't stop because last time it came back. it is stressful

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	Adverse reaction	✓	✓	✓
HCVO	Medical counselling	✓	·	✓
HCVO	Medical observation	✓	✓	✓
HCVO	Pruritus	✓	✓	✓
HCVO	Urticaria	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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