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
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2021-04-17
Dose 1 — Pfizer-BioNTech
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2021-05-07
Dose 2 — Pfizer-BioNTech
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2021-05-08
Registered in v-safe
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Swelling · HeadacheFree text: Swollen armpit, painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Swollen armpit and part of breast.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Breast pain, Pain in extremity — Feeling: Good · Site: SwellingFree text: Arm, armpit and pain across breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-21
- 2021-11-06
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2021-11-26
Dose 3 — Pfizer-BioNTech
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2021-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain, Breast swelling, Nodule — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Nodule and breast swollen and hurtingMedDRA releases: 2024-11 · check-in free text available
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2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: 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 schoolFree text: Nodule under arm pit very swell up yo the breast area. Hurst a lot. Chest warm sensationMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, NauseaFree 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
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2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · HeadacheFree text: Swollen nodules under arm pit and part of breast..MedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — day 7, dose 3MedDRA: Breast swelling, Oedema peripheral — Feeling: Fair · Site: Swelling, Itching · Headache, Rash, not including the immediate area around the injection siteFree text: Swollen under armpit and breastMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — day 14, dose 3MedDRA: Fluid retention, Nodule, Swelling — Feeling: FairFree text: Water retention, legs. Nodules still swallenMedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2022-01-03
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Pfizer-BioNTech | |
| 2 | 2021-05-07 | Pfizer-BioNTech | |
| 3 | 2021-11-26 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen armpit, painful
Systemic reaction (other): Swollen armpit and part of breast.
Systemic reaction (other): Arm, armpit and pain across breast
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nodule and breast swollen and hurting
Systemic reaction (other): Nodule under arm pit very swell up yo the breast area. Hurst a lot. Chest warm sensation
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.
Systemic reaction (other): Swollen nodules under arm pit and part of breast..
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen under armpit and breast
Release 10 — day 14, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Fluid retention | · | · | ✓ |
| SD | Nodule | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Axillary mass | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Breast swelling | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nodule | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release