67L-13053-43570
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 480 / MI
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-12
Dose 1 — Pfizer-BioNTech
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2021-01-17
Registered in v-safe
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: 12×12 swelling nodule supraclavicular lymph node with soreness appeared 1 to 2 days agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Limb discomfort, Swelling — Feeling: GoodFree text: Swelling tenderness left armpit swollen nodule lft collar bone side of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-26
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2021-02-02
Dose 2 — Pfizer-BioNTech
- 2021-02-02
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Muscle or body achesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
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2021-02-25
Survey response — day 21, dose 2MedDRA: Headache, Hypersensitivity — Feeling: FairFree text: Allergy like symptoms, headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
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2021-05-05
Survey response — 3 months, dose 2MedDRA: Cyst, Lymphadenopathy, Medical observation, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lymph node swelling traveling down left side of body (injection side) cysts and pain on left side of body starting a week after vaccine. Being monitored by physician.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-03
Survey response — 6 months, dose 2MedDRA: Neurological symptom, Pain in extremity, Palpitations — Feeling: Fair · 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 visitFree text: Consistent calf pain left leg. Ultrasound done no findings. Heart racing. Nerve symptoms only on left side of body where vaccine was done.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-03
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-05
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2021-08-13
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-02-02 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): 12×12 swelling nodule supraclavicular lymph node with soreness appeared 1 to 2 days ago
Systemic reaction (other): Swelling tenderness left armpit swollen nodule lft collar bone side of injection site
Release 4 — day 21, dose 2
Symptoms: Allergy like symptoms, headaches
Release 8 — 3 months, dose 2
Symptoms: Lymph node swelling traveling down left side of body (injection side) cysts and pain on left side of body starting a week after vaccine. Being monitored by physician.
Release 9 — 6 months, dose 2
Symptoms: Consistent calf pain left leg. Ultrasound done no findings. Heart racing. Nerve symptoms only on left side of body where vaccine was done.
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 | Cyst | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Medical observation | ✓ | ✓ | ✓ |
| SD | Neurological symptom | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release