5KM-60635-16435
3 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 852 / AZ
- Registered
- 2021-12-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
9SX-60641-16361
Child or adolescent in my care · Male · 2021-12-16
Timeline
-
2021-04-03
Dose 1 — Pfizer-BioNTech
-
2021-04-24
Dose 2 — Pfizer-BioNTech
-
2021-12-15
Registered in v-safe
-
2021-12-15
Dose 3 — Pfizer-BioNTech
- 2021-12-15
-
2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fever · HeadacheFree text: large tender swollen lympnode in armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral, Tenderness — Feeling: GoodFree text: swollen armpit still not as sore and tender todayMedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: armpit lymph almost back to normal. mild tendernessMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: GoodFree text: armpit almost completely normalMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-29
- 2022-01-06
- 2022-01-13
- 2022-01-19
- 2022-01-28
- 2022-03-16
-
2022-06-15
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: was pregnant in feb lost baby in May. trisomy 21, hydrops, and cystic hygromaMedDRA releases: 2024-11 · check-in free text available
-
2022-06-15
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-06-16
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | No |
| 2 | 2021-04-24 | Pfizer-BioNTech | No |
| 3 | 2021-12-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-15 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): large tender swollen lympnode in armpit
Systemic reaction (other): swollen armpit still not as sore and tender today
Systemic reaction (other): armpit lymph almost back to normal. mild tenderness
Systemic reaction (other): armpit almost completely normal
Release 12 — 6 months, dose 3
Symptoms: was pregnant in feb lost baby in May. trisomy 21, hydrops, and cystic hygroma
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 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release