BLM-15511-17523
3 vaccinations
2 coded responses
18 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 201 / VA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HRQ-97719-54648
Child or adolescent in my care · Female · 2022-07-19
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-21
Registered in v-safe
-
2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
- 2021-04-24
-
2021-07-21
Survey response — 3 months, dose 2MedDRA: Lymph node pain, Lymphadenitis, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: The lymph nodes under both of my armpits have been inflamed and sore for about 6 weeks. My primary care doctor sent me for ultrasounds and mammogram which all came back normal as did blood work. She thinks it's a delayed vaccine reaction. · Healthcare visit (other): UltrasoundsMedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-27
Call successfulDoes not wish to fill out VAERS report
- 2021-10-20
-
2021-11-05
Dose 3 — Moderna
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-07
- 2021-11-08
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in both armpitsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-05
- 2021-12-10
- 2021-12-18
- 2022-02-06
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 3 months, dose 2
Symptoms: The lymph nodes under both of my armpits have been inflamed and sore for about 6 weeks. My primary care doctor sent me for ultrasounds and mammogram which all came back normal as did blood work. She thinks it's a delayed vaccine reaction.
Healthcare visit (other): Ultrasounds
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes in both armpits
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 | Unevaluable event | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release