6SW-75398-35647
3 vaccinations
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 006 / PR
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
VJ2-22123-44233
Child or adolescent in my care · Female · 2022-04-28
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-07
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction, Neck pain, Tenderness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Some moderate pain that comes and goes at my neck to the side of the shot which is left. I forgot to tell before but it started 45 minutes after the shot. Pain is kind of intermittent it doesn't hurt all the time and is mild but tender if I touch the site when it hurts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-04-28
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Axillary pain, Neck pain, Tenderness, Therapeutic product ineffective — Feeling: Poor · Site: Pain · Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain and tenderness at my left armpit as if swollen inside and left shoulder towards the neck. The pain doesn't go away with acetaminophen pills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
-
2021-10-28
Dose 3 — Pfizer-BioNTech
- 2021-10-30
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass, Axillary pain, Nodule, Oedema peripheral, Reaction to previous exposure to any vaccine — Feeling: Fair · Headache, Muscle or body achesFree text: A somewhat painful little lump at my left armpit that I've been told is a swollen nodule because of the vaccine. Happened when I got the 2nd dose but this time it doesn't hurt as much and is smaller.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: Caesarean section, Hysterectomy, Salpingectomy, Uterine mass — 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 visit, Emergency room or emergency department visit, HospitalizationFree text: On March 1st I had a Total Hysterectomy with a C-section where the surgeon removed both fallopian tubes & also another mass that was growing close to my uterus. Pathology results came negative. Today my daughter's home antigen test is positive.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-29
-
2022-05-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Successful 2022-05-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Some moderate pain that comes and goes at my neck to the side of the shot which is left. I forgot to tell before but it started 45 minutes after the shot. Pain is kind of intermittent it doesn't hurt all the time and is mild but tender if I touch the site when it hurts.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pain and tenderness at my left armpit as if swollen inside and left shoulder towards the neck. The pain doesn't go away with acetaminophen pills.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): A somewhat painful little lump at my left armpit that I've been told is a swollen nodule because of the vaccine. Happened when I got the 2nd dose but this time it doesn't hurt as much and is smaller.
Release 11 — 6 months, dose 3
Symptoms: On March 1st I had a Total Hysterectomy with a C-section where the surgeon removed both fallopian tubes & also another mass that was growing close to my uterus. Pathology results came negative. Today my daughter's home antigen test is positive.
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 | Caesarean section | · | · | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SD | Salpingectomy | · | · | ✓ |
| SD | Uterine mass | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary mass | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Nodule | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Therapeutic product ineffective | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release