ZM8-24560-05768
2 vaccinations
7 coded responses
12 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 222 / VA
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-16
Dose 1 — Pfizer-BioNTech
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2021-05-21
Registered in v-safe
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2021-05-21
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Headache, Pre-existing disease, Self-medication — Feeling: GoodFree text: The very day I received the vaccine I had a major headache & dizziness. I have atopic dermatitis & it reacted my skin. I just took my medicine for the atopic dermatitis & an Advil for my headache. 3 days after May 16th the day of my vaccine I felt back at 100%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — days 1–6 daily, dose 1MedDRA: Dermatitis atopic, Immediate post-injection reaction, Rash — Feeling: Fair · Site: ItchingFree text: Gained a rash soon after the injection. I have atopic dermatitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Health check-in — day 7, dose 1Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-30
Survey response — day 14, dose 1MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I continue to have a rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
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2021-06-07
Dose 2 — Pfizer-BioNTech
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2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-06-14
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Fever · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-21
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2021-06-28
Survey response — day 21, dose 2MedDRA: Rash, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Rash all over my body · Healthcare visit (other): Got refills on ointmentsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-28
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-02
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2021-07-05
Survey response — day 28, dose 2MedDRA: Rash — Feeling: FairFree text: Continued rash & bumps all over my skin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — day 35, dose 2MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rash all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-19
Survey response — day 42, dose 2MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: RashMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-16 | Pfizer-BioNTech | |
| 2 | 2021-06-07 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-28 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): The very day I received the vaccine I had a major headache & dizziness. I have atopic dermatitis & it reacted my skin. I just took my medicine for the atopic dermatitis & an Advil for my headache. 3 days after May 16th the day of my vaccine I felt back at 100%
Systemic reaction (other): Gained a rash soon after the injection. I have atopic dermatitis.
Release 8 — day 14, dose 1
Symptoms: I continue to have a rash.
Release 9 — day 21, dose 2
Release 9 — day 28, dose 2
Symptoms: Continued rash & bumps all over my skin.
Release 9 — day 35, dose 2
Symptoms: Rash all over
Release 9 — day 42, dose 2
Symptoms: Rash
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 | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Dermatitis atopic | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release