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
-
2021-07-11
Dose 1 — Pfizer-BioNTech
-
2021-08-02
Dose 2 — Pfizer-BioNTech
-
2021-08-04
Registered in v-safe
-
2021-08-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, NauseaFree text: Swollen lymph node over collarboneMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, NauseaFree text: Swollen lymph node over collarboneMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · HeadacheFree text: Swollen lymph node over collarboneMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Swollen lymph node over collarbone, it's slowly going downMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · HeadacheFree text: Swollen lymph node over collarbone, it's about 50% smaller than at it's worstMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-09
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph node over collarbone, going down very slowlyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-16
- 2021-08-23
- 2021-08-30
- 2021-09-06
- 2021-09-13
-
2021-11-03
Survey response — 3 months, dose 2MedDRA: 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 consultationFree 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 bookedMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-08
-
2021-11-08
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-11 | Pfizer-BioNTech | No |
| 2 | 2021-08-02 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node over collarbone
Systemic reaction (other): Swollen lymph node over collarbone
Systemic reaction (other): Swollen lymph node over collarbone
Systemic reaction (other): Swollen lymph node over collarbone, it's slowly going down
Systemic reaction (other): Swollen lymph node over collarbone, it's about 50% smaller than at it's worst
Release 9 — day 7, dose 2
Systemic reaction (other): Swollen lymph node over collarbone, going down very slowly
Release 10 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release