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6LL-25626-03597

3 vaccinations 9 coded responses 16 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
605 / IL
Registered
2021-05-08
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino
Registered dependents
FL9-13359-01034 Child or adolescent in my care · Male · 2022-06-30
74T-21304-25763 Child or adolescent in my care · Male · 2022-06-30

Timeline

  1. 2021-04-17
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-07
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-08
    Registered in v-safe
  4. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Swelling · Headache
    Free text: Swollen armpit, painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Swollen armpit and part of breast.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Breast pain, Pain in extremity — Feeling: Good · Site: Swelling
    Free text: Arm, armpit and pain across breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-05-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  9. 2021-05-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-11-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-11-26
    Dose 3 — Pfizer-BioNTech
  12. 2021-11-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Breast pain, Breast swelling, Nodule — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Nodule and breast swollen and hurting
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-11-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary mass, Axillary pain, Breast swelling, Feeling hot, Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Nausea · Be unable to work or attend school
    Free text: Nodule under arm pit very swell up yo the breast area. Hurst a lot. Chest warm sensation
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Nausea
    Free text: Lymph node under armpit(left side) and breast are swollen. Rash ring on arm is around 5 inches, it has kept spreading.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · Headache
    Free text: Swollen nodules under arm pit and part of breast..
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-03
    Survey response — day 7, dose 3
    MedDRA: Breast swelling, Oedema peripheral — Feeling: Fair · Site: Swelling, Itching · Headache, Rash, not including the immediate area around the injection site
    Free text: Swollen under armpit and breast
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-12-10
    Survey response — day 14, dose 3
    MedDRA: Fluid retention, Nodule, Swelling — Feeling: Fair
    Free text: Water retention, legs. Nodules still swallen
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-01-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-02-25
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Pfizer-BioNTech
22021-05-07Pfizer-BioNTech
32021-11-26Pfizer-BioNTech No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Swollen armpit, painful

2021-05-09

Systemic reaction (other): Swollen armpit and part of breast.

2021-05-10

Systemic reaction (other): Arm, armpit and pain across breast

Release 10 — days 1–6 daily, dose 3

2021-11-27

Systemic reaction (other): Nodule and breast swollen and hurting

2021-11-28

Systemic reaction (other): Nodule under arm pit very swell up yo the breast area. Hurst a lot. Chest warm sensation

2021-11-29

Systemic reaction (other): Lymph node under armpit(left side) and breast are swollen. Rash ring on arm is around 5 inches, it has kept spreading.

2021-12-01

Systemic reaction (other): Swollen nodules under arm pit and part of breast..

Release 10 — day 7, dose 3

2021-12-03

Systemic reaction (other): Swollen under armpit and breast

Release 10 — day 14, dose 3

2021-12-10

Symptoms: Water retention, legs. Nodules still swallen

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
SDFluid retention · · ✓
SDNodule · · ✓
SDSwelling · · ✓
SROAxillary mass · · ✓
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROBreast swelling · · ✓
SROFeeling hot · · ✓
SROLymphadenopathy · · ✓
SRONodule · · ✓
SROOedema peripheral ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SRORash · · ✓

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