J6W-42944-82691
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 598 / MT
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, DiarrheaAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-20
- 2021-03-21
-
2021-03-22
Survey response — day 7, dose 1MedDRA: Abdominal pain upper — Feeling: Fair · DiarrheaFree text: Stomach painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-05
Dose 2 — Pfizer-BioNTech
- 2021-04-05
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body achesAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Swelling · Fever · Nausea · Be unable to do your normal daily activitiesFree text: Muscle spasms in low backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Survey response — day 7, dose 2MedDRA: Breast pain — Feeling: GoodFree text: Breast pain in lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 14, dose 2MedDRA: Breast cyst, Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swelling of cysts in breasts, painful swollen lymph nodes in breastsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-21
- 2021-07-05
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2021-10-05
Survey response — 6 months, dose 2MedDRA: Breast pain — Feeling: GoodFree text: I rarely had breast pain before my period but I have had that issue since being vaccinated.MedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Uterine dilation and curettage — 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, HospitalizationFree text: Miscarriage and D&C procedureMedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-04-06
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2022-04-06
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-05 | Successful 2022-04-06 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Stomach pain
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle spasms in low back
Release 7 — day 7, dose 2
Systemic reaction (other): Breast pain in lymph nodes
Release 7 — day 14, dose 2
Symptoms: Swelling of cysts in breasts, painful swollen lymph nodes in breasts
Release 10 — 6 months, dose 2
Symptoms: I rarely had breast pain before my period but I have had that issue since being vaccinated.
Release 11 — 12 months, dose 2
Symptoms: Miscarriage and D&C procedure
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 | Breast cyst | ✓ | ✓ | ✓ |
| SD | Breast pain | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release