Q4Q-14694-46259
4 vaccinations
6 coded responses
27 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 551 / MN
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2FA-35975-51502
Child or adolescent in my care · Female · 2022-11-04
Timeline
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2021-04-05
Registered in v-safe
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2021-04-05
Dose 1 — Pfizer-BioNTech
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2021-04-05
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-07
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nod in right breast.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nod in right breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-26
Dose 2 — Pfizer-BioNTech
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2021-04-26
Survey response — day 0, dose 2MedDRA: Breast swelling, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Still have my swollen lymphnod in my right breast from April 8thMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Swollen lymphnod in right breast from 1st shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-29
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Ectopic pregnancy, Hospitalisation, Laparoscopic surgery — Feeling: Good · 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: Symptoms: Ectopic Pregnancy · Healthcare visit (other): Laparoscopic surgery & overnight hospital stayMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
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2021-07-28
Call successfulDoes not wish to fill out VAERS report
- 2021-10-25
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2021-12-14
Dose 3 — Pfizer-BioNTech
- 2022-04-26
- 2022-06-14
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2022-10-04
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-04
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2022-11-15
Survey response — day 42, dose 4MedDRA: Respiratory symptom — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: RSV symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-12-14 | Pfizer-BioNTech | No |
| 4 | 2022-10-04 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-26 | Successful 2021-07-28 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph nod in right breast.
Release 7 — day 7, dose 1
Systemic reaction (other): Swollen lymph nod in right breast
Release 8 — day 0, dose 2
Systemic reaction (other): Still have my swollen lymphnod in my right breast from April 8th
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymphnod in right breast from 1st shot
Release 9 — 3 months, dose 2
Symptoms: Ectopic Pregnancy
Healthcare visit (other): Laparoscopic surgery & overnight hospital stay
Release 12 — day 42, dose 4
Symptoms: RSV symptoms
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 | Hospitalisation | ✓ | · | ✓ |
| HCVO | Laparoscopic surgery | ✓ | · | ✓ |
| SD | Ectopic pregnancy | ✓ | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SRO | Breast swelling | ✓ | ✓ | ○ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release