5BV-16921-76466
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 652 / MO
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BY6-24858-24483
Child or adolescent in my care · Female · 2021-12-18
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
-
2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I am breastfeeding and plan to be for the next 6 months.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-11
Dose 2 — Pfizer-BioNTech
-
2021-01-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tirednessAdult check-in
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-04-12
- 2021-07-12
-
2021-12-13
Dose 3 — Moderna
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Flushing, Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Migraine, Paraesthesia oral, Pre-existing disease, Skin warm — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had Covid 9/21; Dose #3 30 mins after- my injection arm became hot/flushed w/ perioral tingling. Both arm/mouth became numb & my typical migraine developed. I had several migraines during Covid; Aboved checked symptoms were 24 hrs later.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-27
- 2022-01-03
-
2022-01-10
Survey response — day 28, dose 3MedDRA: Breast discharge, Chills, Mammogram abnormal, Myalgia, Nipple exudate bloody — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left sided bloody nipple dischage for 3 weeks. Started day following immunization (had chills, myalgias at that time too). Ipsilateral arm/breast involement. Mammogram not alble to be interpreted. US unremarkable. MRI pending.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-10
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-11
-
2022-01-19
Survey response — day 35, dose 3MedDRA: Nipple exudate bloody — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continued ipsilateral bloody nipple discharge as previously described. MRI scheduled for 1/28. Will update after results are reported.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-19
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-20
-
2022-06-14
Survey response — 6 months, dose 2, dependentMedDRA: Bloody discharge, Breast discharge, Laboratory test abnormal, Magnetic resonance imaging abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Shortly after the booster dose I developed ipsilateral bloody nipple discharge lasting several weeks. Negative mammogram & ultrasound. MRI concerning. Core needle biopsy showed apocrine metaplasia (i.e. benign). No remark on any inflammatory cells. · Healthcare visit (other): Multiple radiology studies and a breast core-needle biopsyMedDRA releases: 2024-11 · check-in free text available
-
2022-06-14
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-15
- 2022-06-15
- 2022-06-15
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-12-13 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I am breastfeeding and plan to be for the next 6 months.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had Covid 9/21; Dose #3 30 mins after- my injection arm became hot/flushed w/ perioral tingling. Both arm/mouth became numb & my typical migraine developed. I had several migraines during Covid; Aboved checked symptoms were 24 hrs later.
Release 10 — day 28, dose 3
Symptoms: Left sided bloody nipple dischage for 3 weeks. Started day following immunization (had chills, myalgias at that time too). Ipsilateral arm/breast involement. Mammogram not alble to be interpreted. US unremarkable. MRI pending.
Release 10 — day 35, dose 3
Symptoms: Continued ipsilateral bloody nipple discharge as previously described. MRI scheduled for 1/28. Will update after results are reported.
Release 12 — 6 months, dose 2, dependent
Symptoms: Shortly after the booster dose I developed ipsilateral bloody nipple discharge lasting several weeks. Negative mammogram & ultrasound. MRI concerning. Core needle biopsy showed apocrine metaplasia (i.e. benign). No remark on any inflammatory cells. cut off by CDC
Healthcare visit (other): Multiple radiology studies and a breast core-needle biopsy
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 | Unevaluable event | · | · | ✓ |
| SD | Bloody discharge | · | · | ✓ |
| SD | Breast discharge | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Mammogram abnormal | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nipple exudate bloody | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Hypoaesthesia oral | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Maternal exposure during breast feeding | ○ | ○ | ○ |
| SRO | Migraine | · | · | ✓ |
| SRO | Paraesthesia oral | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release