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5ZX-21555-62631

2 vaccinations 2 coded responses 13 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
945 / CA
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-01-19
    Dose 2 — Pfizer-BioNTech
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen/ painful lymph node in armpit of injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-01-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-01-19
    Survey response — 12 months, dose 2
    MedDRA: Deep vein thrombosis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: DVT
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-19
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  18. 2022-01-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Pfizer-BioNTech
22021-01-19Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2022-01-19 Successful
2022-01-21
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Swollen/ painful lymph node in armpit of injection arm

Release 10 — 12 months, dose 2

2022-01-19

Symptoms: DVT

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

FieldPreferred term2021-092023-042024-11
SDDeep vein thrombosis · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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