9RB-31012-99260
3 vaccinations
2 coded responses
3 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 329 / FL
- Registered
- 2021-10-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
422-28471-09229
Child or adolescent in my care · Male · 2022-06-25
KMX-19195-25437
Child or adolescent in my care · Male · 2022-06-25
Timeline
-
2021-03-09
Dose 1 — Pfizer-BioNTech
-
2021-03-30
Dose 2 — Pfizer-BioNTech
-
2021-10-09
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-12
Registered in v-safe
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: My armpit of the injected arm is swollen and uncomfortable. I got the shot Saturday and noticed the swelling last night (Monday)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection siteFree text: Swollen armpit of injected armMedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | No |
| 2 | 2021-03-30 | Pfizer-BioNTech | No |
| 3 | 2021-10-09 | Pfizer-BioNTech | Flu |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My armpit of the injected arm is swollen and uncomfortable. I got the shot Saturday and noticed the swelling last night (Monday)
Systemic reaction (other): Swollen armpit of injected arm
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 |
|---|---|---|---|---|
| SRO | Discomfort | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release