J4U-10020-13967
2 vaccinations
5 coded responses
5 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Dose 2 — Pfizer-BioNTech
-
2021-04-04
Registered in v-safe
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Lymph node swelling at neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Neck lymph node swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Brain fog, lymph node swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-04
Survey response — 3 months, dose 2MedDRA: Asthenia, Weight increased — Feeling: FairFree text: Weakness and weight gainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — 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 · Emergency room or emergency department visitFree text: Early MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-10-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-01 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node swelling at neck
Systemic reaction (other): Neck lymph node swelling
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog, lymph node swelling
Release 9 — 3 months, dose 2
Symptoms: Weakness and weight gain
Release 9 — 6 months, dose 2
Symptoms: Early Miscarriage
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 | Abortion spontaneous | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release