5A9-89677-88244
3 vaccinations
6 coded responses
7 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 921 / CA
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-29
Dose 2 — Pfizer-BioNTech
-
2021-05-01
Registered in v-safe
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: swollen lymph nodes in neck and in armpit of arm that got the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Nasal dryness, Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: sore throat, dry nose, chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): stuffy nose, lots of congestion · Healthcare visit (other): made an appointment with my health care providerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Office visit, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Stuffy Nose and Congestion that wont go away · Healthcare visit (other): appointment with health care providerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
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2021-12-21
Dose 3 — Moderna
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2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Dizziness, Fatigue, Lymphadenopathy, Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest pain, armpit lymph node swelling (side of shot), Fatigue, dizziness, neck pain (side of shot)MedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Induration, Lymphadenopathy, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Arm(not injections site) Swollen lymph node and a hard painful to touch lump in my upper leftMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-12-21 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): swollen lymph nodes in neck and in armpit of arm that got the injection
Systemic reaction (other): sore throat, dry nose, chest pain
Systemic reaction (other): stuffy nose, lots of congestion
Healthcare visit (other): made an appointment with my health care provider
Systemic reaction (other): Stuffy Nose and Congestion that wont go away
Healthcare visit (other): appointment with health care provider
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain, armpit lymph node swelling (side of shot), Fatigue, dizziness, neck pain (side of shot)
Systemic reaction (other): Arm(not injections site) Swollen lymph node and a hard painful to touch lump in my upper left
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasal dryness | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release