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4YD-16806-04346

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
532 / WI
Registered
2021-08-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
SD3-28762-31459 Child or adolescent in my care · Male · 2021-08-04

Timeline

  1. 2021-07-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-08-02
    Dose 2 — Pfizer-BioNTech
  3. 2021-08-04
    Registered in v-safe
  4. 2021-08-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea
    Free text: Swollen lymph node over collarbone
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea
    Free text: Swollen lymph node over collarbone
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache
    Free text: Swollen lymph node over collarbone
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching
    Free text: Swollen lymph node over collarbone, it's slowly going down
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Headache
    Free text: Swollen lymph node over collarbone, it's about 50% smaller than at it's worst
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-09
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swollen lymph node over collarbone, going down very slowly
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-08-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-08-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-08-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-09-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-09-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-03
    Survey response — 3 months, dose 2
    MedDRA: Nasopharyngitis, Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Head old / sinus infection symptoms. Currently being treated for sinus infection, but at Dr now checking for pnemonia. Did covid test today to be certain of what is going on. (2 at home covid tests were negative) · Healthcare visit (other): At urgent care because reg Dr was booked
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-03
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2021-11-08
  18. 2021-11-08
    Call successful
    Participant prefers to complete VAERS report online
  19. 2022-02-02
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-11Pfizer-BioNTech No
22021-08-02Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-04

Systemic reaction (other): Swollen lymph node over collarbone

2021-08-05

Systemic reaction (other): Swollen lymph node over collarbone

2021-08-06

Systemic reaction (other): Swollen lymph node over collarbone

2021-08-07

Systemic reaction (other): Swollen lymph node over collarbone, it's slowly going down

2021-08-08

Systemic reaction (other): Swollen lymph node over collarbone, it's about 50% smaller than at it's worst

Release 9 — day 7, dose 2

2021-08-09

Systemic reaction (other): Swollen lymph node over collarbone, going down very slowly

Release 10 — 3 months, dose 2

2021-11-03

Symptoms: Head old / sinus infection symptoms. Currently being treated for sinus infection, but at Dr now checking for pnemonia. Did covid test today to be certain of what is going on. (2 at home covid tests were negative)
Healthcare visit (other): At urgent care because reg Dr was booked

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
HCVOOffice visit · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinusitis · · ✓
SROLymphadenopathy ✓ · ✓

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