4CA-30622-95778
2 vaccinations
8 coded responses
19 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 018 / MA
- Registered
- 2021-11-13
- Relationship
- Child or adolescent in my care
- Guardian
- NKU-95469-28273
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-13
Registered in v-safe
-
2021-11-13
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Swelling · Fever · NoneAdult check-in
-
2021-11-15
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Pain and swelling in armpit on side vaccine was administered.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pain and swelling in armpit on the side the immunization was administeredMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-17
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Armpit swelling and soreness on the side the vaccine was givenMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-18
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Swollen armpit and lymph nodes on side vaccine was givenMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
-
2021-11-19
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · Site: SwellingFree text: Mild swelling and lymph node swelling in right armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Call successfulParticipant prefers to complete VAERS report online
-
2021-11-21
Survey response — day 7, dose 1, dependentMedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph node swelling in right armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
-
2021-12-04
Dose 2 — Pfizer-BioNTech
- 2021-12-04
-
2021-12-05
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swollen armpit on side shot was givenMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swelling in armpit on side shot was givenMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-17
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Pain and swelling in armpit on side vaccine was administered.
Systemic reaction (other): Pain and swelling in armpit on the side the immunization was administered
Systemic reaction (other): Armpit swelling and soreness on the side the vaccine was given
Systemic reaction (other): Swollen armpit and lymph nodes on side vaccine was given
Systemic reaction (other): Mild swelling and lymph node swelling in right armpit
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Lymph node swelling in right armpit
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Swollen armpit on side shot was given
Systemic reaction (other): Swelling in armpit on side shot was given
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release