MG9-25867-39286
2 vaccinations
3 coded responses
6 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 629 / IL
- Registered
- 2022-01-15
- Relationship
- Child or adolescent in my care
- Guardian
- 4R9-22426-35927
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-18
Dose 1 — Pfizer-BioNTech
-
2022-01-11
Dose 2 — Pfizer-BioNTech
-
2022-01-15
Registered in v-safe
-
2022-01-15
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Induration, Limb mass, Tenderness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheFree text: Large lump on arm under skin, firm. Lump has moved up arm. Tenderness is more mild today.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-16
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · NoneAdult check-in
-
2022-01-17
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Respiratory tract congestion — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Survey response — day 7, dose 2, dependentMedDRA: Injection site erythema, Injection site mass, Injection site pain, Limb mass — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Large lump under skin near injection site that has moved up her arm. Lump is slightly smaller than a quarter & has been there for a week. Red but no longer tender.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-25
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-18 | Pfizer-BioNTech | No |
| 2 | 2022-01-11 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Large lump on arm under skin, firm. Lump has moved up arm. Tenderness is more mild today.
Systemic reaction (other): congestion
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Large lump under skin near injection site that has moved up her arm. Lump is slightly smaller than a quarter & has been there for a week. Red but no longer tender.
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 | Induration | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Limb mass | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release