2LW-19173-02400
3 vaccinations
3 coded responses
29 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 947 / CA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Pfizer-BioNTech
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 2 — Pfizer-BioNTech
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
-
2021-09-04
Survey response — 6 months, dose 2MedDRA: Injection site mass, Office visit, Ultrasound scan abnormal — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 15mm Lump on arm at or near vaccine injection site delevoped mid July. Remains unchanged. Ultrasound results :A well-circumscribed rounded nonspecific hypovascular hypoechoic sharply marginated masslike nodule · Healthcare visit (other): Office visit with MDMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-24
-
2021-09-27
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-28
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Abscess drainage, Office visit, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 6 abscesses that have been excised. Occurred in 3 stages each 4-5 months after 3 vaccines. 1st and worst on left deltoid at vaccine site. 1 left forearm, 3 on back, 1 on right upper arm after booster which was administered on right arm · Healthcare visit (other): Many office visits with PCP, surgeon, and dermatologist. Video consultation with infectious diseases mdMedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-29
Call successfulDoes not wish to fill out VAERS report
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2022-03-29
Call successfulCompleted over the phone
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2022-09-27
Survey response — 12 months, dose 3MedDRA: Abscess limb, Limb mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 2 new lumps/abscesses appeared Sept 8 on right upper arm. Same arm as booster, same time delay as 3 prior reported incidences of similar lumps.MedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-09-29
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Pfizer-BioNTech | |
| 2 | 2021-03-06 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 9 — 6 months, dose 2
Symptoms: 15mm Lump on arm at or near vaccine injection site delevoped mid July. Remains unchanged. Ultrasound results :A well-circumscribed rounded nonspecific hypovascular hypoechoic sharply marginated masslike nodule
Healthcare visit (other): Office visit with MD
Release 11 — 6 months, dose 3
Symptoms: 6 abscesses that have been excised. Occurred in 3 stages each 4-5 months after 3 vaccines. 1st and worst on left deltoid at vaccine site. 1 left forearm, 3 on back, 1 on right upper arm after booster which was administered on right arm
Healthcare visit (other): Many office visits with PCP, surgeon, and dermatologist. Video consultation with infectious diseases md
Release 12 — 12 months, dose 3
Symptoms: 2 new lumps/abscesses appeared Sept 8 on right upper arm. Same arm as booster, same time delay as 3 prior reported incidences of similar lumps.
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 | ✓ | · | ✓ |
| HCVO | Telemedicine | · | · | ✓ |
| SD | Abscess drainage | · | · | ✓ |
| SD | Abscess limb | · | · | ✓ |
| SD | Injection site mass | ✓ | · | ✓ |
| SD | Limb mass | · | · | ✓ |
| SD | Ultrasound scan abnormal | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release