55V-32495-83193
4 vaccinations
4 coded responses
37 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 019 / MA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Dose 1 — Pfizer-BioNTech
-
2021-04-12
Registered in v-safe
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Typical muscle soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-25
- 2021-05-02
-
2021-05-03
Dose 2 — Pfizer-BioNTech
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: GoodFree text: 24 hours after the 2nd dose I was achy but passed in a day and fine ever since!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
-
2021-08-03
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy, Lymphoedema, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lymphatic swelling (I'm a recent breast cancer survivor who had axillary lymph node dissection.) Swelling began within 2 weeks of 2nd vaccine. May or may not be related. · Healthcare visit (other): outpatient lymphedema clinic visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-12
Call successfulDoes not wish to fill out VAERS report
- 2021-11-01
-
2021-11-04
Dose 3 — Moderna
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Onset of symptoms was 16 hours after Moderna booster, and ended in 7 hours. That booster kicked like a mule!MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
-
2022-06-02
Dose 4 — Moderna
- 2022-06-26
- 2022-06-30
- 2022-07-07
- 2022-07-14
- 2022-09-01
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-06-02 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Typical muscle soreness at injection site
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): 24 hours after the 2nd dose I was achy but passed in a day and fine ever since!
Release 9 — 3 months, dose 2
Symptoms: Lymphatic swelling (I'm a recent breast cancer survivor who had axillary lymph node dissection.) Swelling began within 2 weeks of 2nd vaccine. May or may not be related.
Healthcare visit (other): outpatient lymphedema clinic visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Onset of symptoms was 16 hours after Moderna booster, and ended in 7 hours. That booster kicked like a mule!
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 | Lymphoedema | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release