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3MM-75539-16184

4 vaccinations 8 coded responses 37 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
330 / FL
Registered
2021-01-11
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-09
    Dose 2 — Pfizer-BioNTech
  3. 2021-01-11
    Registered in v-safe
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  5. 2021-01-16
    Survey response — day 7, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Light headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-01-30
    Survey response — day 21, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair
    Free text: The swollen lymph node in the lower part of the neck is the same, it has not diminished, and tomorrow it will be 3 weeks and the doctor told me that it would go away in 3 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-02-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-09-29
    Dose 3 — Pfizer-BioNTech
  14. 2021-09-29
    Survey response — day 0, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting
    Free text: Swelling of the lymph nodes near the left shoulder, on the same side as the shot
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  16. 2021-10-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Free text: Swelling of lymph nodes on my neck
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-10-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-10-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-03-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-06-24
    Dose 4 — Pfizer-BioNTech
  30. 2022-06-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes neck and armpit
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-06-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy, Oral pain — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: swollen lymph nodes And sore in the roof of my mouth.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-06-29
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Lymphadenopathy, Oral mucosal erythema — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: swollen lymph nodes and pain and red on the roof of my mouth
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-06-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-07-01
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-07-08
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-07-15
    Survey response — day 21, dose 4
    MedDRA: Cough, Oropharyngeal pain, Pyrexia — 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 professional · Outpatient clinic or urgent care clinic visit
    Free text: I had sore throat, cough and fever
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-07-15
    Report sent to call center — day 21, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  38. 2022-07-18
    Call successful
    Participant prefers to complete VAERS report online
  39. 2022-07-22
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-07-29
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-08-05
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-09-25
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-12-23
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-06-24
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-19Pfizer-BioNTech
22021-01-09Pfizer-BioNTech
32021-09-29Pfizer-BioNTech No
42022-06-24Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 7, dose 2

2021-01-16

Systemic reaction (other): Light headache

Release 3 — day 21, dose 2

2021-01-30

Symptoms: The swollen lymph node in the lower part of the neck is the same, it has not diminished, and tomorrow it will be 3 weeks and the doctor told me that it would go away in 3 weeks.

Release 9 — day 0, dose 3

2021-09-29

Systemic reaction (other): Swelling of the lymph nodes near the left shoulder, on the same side as the shot

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Swelling of lymph nodes on my neck

Release 12 — days 1–6 daily, dose 4

2022-06-27

Systemic reaction (other): Swollen lymph nodes neck and armpit

2022-06-28

Systemic reaction (other): swollen lymph nodes And sore in the roof of my mouth.

2022-06-29

Systemic reaction (other): swollen lymph nodes and pain and red on the roof of my mouth

Release 12 — day 21, dose 4

2022-07-15

Symptoms: I had sore throat, cough and fever

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SROHeadache ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROOral mucosal erythema · · ✓
SROOral pain · · ✓

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