4S9-23051-00333
3 vaccinations
8 coded responses
35 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 075 / NJ
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Pfizer-BioNTech
-
2021-02-21
Registered in v-safe
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
-
2021-03-12
Dose 2 — Pfizer-BioNTech
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
-
2021-09-12
Survey response — 6 months, dose 2MedDRA: Arthritis, Meniscus injury — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rt Knee inflammation meniscus tearMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Dose 3 — Pfizer-BioNTech
-
2022-01-26
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Breast pain — Feeling: Poor · Site: Pain · Fever · Chills · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Under left arm and left side of breast it feels like someone kicked me very hard causing moderate to severe painMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Lymph nodes in neck swollenMedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Breast pain, Flatulence, Lymph node pain, Lymphadenopathy, Sleep disorder — Feeling: FairFree text: I continue to have pain in my left underarm and left side of breast in the same side as the injection arm. The lymph nodes have been swollen for 3 days now and is painful without even touching that area and also gas disrupted my sleep since 1/25MedDRA releases: 2024-11 · check-in free text available
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2022-01-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph nodes under left arm and in left breast are less swollen and less painful todayMedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
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2022-01-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: The swelling of my lymph nodes under my left arm has subsided, however, the lymph nodes in my left breast are still swollen causing pain but much less pain than the prior days.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Survey response — day 7, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph nodes are still slightly swollen in left breast but are not as painful as yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-02-08
- 2022-02-15
- 2022-02-22
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2022-03-01
Survey response — day 35, dose 3MedDRA: Vomiting — 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 visitFree text: Violent vomitingMedDRA releases: 2024-11 · check-in free text available
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2022-03-01
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-08
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech | |
| 3 | 2022-01-25 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Rt Knee inflammation meniscus tear
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Under left arm and left side of breast it feels like someone kicked me very hard causing moderate to severe pain
Systemic reaction (other): Lymph nodes in neck swollen
Systemic reaction (other): I continue to have pain in my left underarm and left side of breast in the same side as the injection arm. The lymph nodes have been swollen for 3 days now and is painful without even touching that area and also gas disrupted my sleep since 1/25
Systemic reaction (other): Lymph nodes under left arm and in left breast are less swollen and less painful today
Systemic reaction (other): The swelling of my lymph nodes under my left arm has subsided, however, the lymph nodes in my left breast are still swollen causing pain but much less pain than the prior days.
Release 11 — day 7, dose 3
Systemic reaction (other): Lymph nodes are still slightly swollen in left breast but are not as painful as yesterday
Release 11 — day 35, dose 3
Symptoms: Violent vomiting
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 |
|---|---|---|---|---|
| SD | Arthritis | · | · | ✓ |
| SD | Meniscus injury | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release