L73-11825-73322
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 089 / NJ
- Registered
- 2021-10-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-02
Dose 1 — Pfizer-BioNTech
-
2021-06-27
Dose 2 — Pfizer-BioNTech
-
2021-10-16
Registered in v-safe
-
2021-12-28
Survey response — 6 months, dose 2MedDRA: Axillary pain, Discomfort, Fatigue, Injection site erythema, Injection site swelling, Limb discomfort, Lymphadenopathy, Pain — Feeling: Poor · Be unable to work or attend schoolFree text: Pain in left armpit from swollen lymph node, red swelling on arm injection site. Pain behind. Heaviness in neck and shoulders. Tiredness.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Axillary pain, Insomnia, Lymphadenopathy, Systemic inflammatory response syndrome — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Inflammatory response in chest and ankle while working out or walking. Painful swollen lymph nodes in left armpit. Trouble sleeping for one week post booster of Pfizer 12/27/21. After May 2022 shot, pregnant in August, missed miscarriage at 9 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-30
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-02 | Pfizer-BioNTech | No |
| 2 | 2021-06-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-29 | Successful 2022-06-30 |
Completed over the phone |
Free text
Release 10 — 6 months, dose 2
Symptoms: Pain in left armpit from swollen lymph node, red swelling on arm injection site. Pain behind. Heaviness in neck and shoulders. Tiredness.
Release 12 — 12 months, dose 2
Symptoms: Inflammatory response in chest and ankle while working out or walking. Painful swollen lymph nodes in left armpit. Trouble sleeping for one week post booster of Pfizer 12/27/21. After May 2022 shot, pregnant in August, missed miscarriage at 9 weeks cut off by CDC
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 | Axillary pain | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Limb discomfort | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Systemic inflammatory response syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release