6VJ-90661-58116
4 vaccinations
6 coded responses
30 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 781 / TX
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-04-05
Registered in v-safe
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Pfizer-BioNTech
-
2021-04-20
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-21
- 2021-10-19
-
2021-11-01
Dose 3 — ModernaCo-administered: Flu
-
2022-04-20
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Recently, bad allergies with congestion, but attributable to extreme levels of oak pollen in our area, plus negative at-home COVID-19 test. Last summer, bad cold that went around, but again, negative COVID-19 test.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
-
2022-09-16
Dose 4 — Moderna
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Nausea, Vomiting — Feeling: Fair · Site: Redness, Swelling, Itching · HeadacheFree text: Swelling of the lymph nodes in my armpit; also, I did have nausea and vomiting the day after my shotMedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · HeadacheFree text: Swelling of lymph nodes in armpit, continued but improvedMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · HeadacheFree text: Swelling of lymph nodes, continuing to decreaseMedDRA releases: 2024-11 · check-in free text available
-
2022-09-23
Survey response — day 7, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Still a little swelling of lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-29
- 2022-12-16
-
2023-03-17
Survey response — 6 months, dose 4MedDRA: Office visit, Pregnancy, Prenatal care — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-17
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-20 | Pfizer-BioNTech | |
| 3 | 2021-11-01 | Moderna | Flu |
| 4 | 2022-09-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-17 | Unsuccessful |
Free text
Release 11 — 12 months, dose 2
Symptoms: Recently, bad allergies with congestion, but attributable to extreme levels of oak pollen in our area, plus negative at-home COVID-19 test. Last summer, bad cold that went around, but again, negative COVID-19 test.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swelling of the lymph nodes in my armpit; also, I did have nausea and vomiting the day after my shot
Systemic reaction (other): Swelling of lymph nodes in armpit, continued but improved
Systemic reaction (other): Swelling of lymph nodes, continuing to decrease
Release 12 — day 7, dose 4
Systemic reaction (other): Still a little swelling of lymph nodes in armpit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Prenatal care | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release