Z9R-31303-02162
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 630 / MO
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-03-25
Registered in v-safe
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash erythematous, Rash pruritic, Skin warm, Urticaria — Feeling: Poor · Headache, Rash, not including the immediate area around the injection siteFree text: I started having itching the night I got the shot. The rash continues to get large, redder and look like welts on my head, hands, arms legs, torso, feet. They are becoming hot to touch and painful. Should I get a second shot?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): My rash has gotten worse and has appeared on the soles of my feet and back of thighs · Healthcare visit (other): Waiting for an answer to my email yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Fair · Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rash continues to spreadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Rash continues to spread further down legs and fingersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-30
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-26 | Unsuccessful | |
| 2021-03-27 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I started having itching the night I got the shot. The rash continues to get large, redder and look like welts on my head, hands, arms legs, torso, feet. They are becoming hot to touch and painful. Should I get a second shot?
Systemic reaction (other): My rash has gotten worse and has appeared on the soles of my feet and back of thighs
Healthcare visit (other): Waiting for an answer to my email yesterday
Systemic reaction (other): Rash continues to spread
Systemic reaction (other): Rash continues to spread further down legs and fingers
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release