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T4S-34011-45361

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
480 / MI
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-31
    Registered in v-safe
  3. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Painful Subclavicular lymphadenopathy on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Painful swollen lymph node clavicular same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Painful swollen clavicular lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen clavicular lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-14
    Dose 2 — Pfizer-BioNTech
  8. 2021-02-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-02-16
    Survey response — day 28, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Miscarriage · Healthcare visit (other): Required (b)(6)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-15
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-19
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Pfizer-BioNTech
22021-01-14Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-04-15 Successful
2021-04-19
Does not wish to fill out VAERS report

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Painful Subclavicular lymphadenopathy on same side as injection

2021-01-01

Systemic reaction (other): Painful swollen lymph node clavicular same side as injection

2021-01-02

Systemic reaction (other): Painful swollen clavicular lymph nodes

2021-01-03

Systemic reaction (other): Swollen clavicular lymph node

Release 4 — day 28, dose 2

2021-02-16

Symptoms: Pregnant

Release 7 — 3 months, dose 2

2021-04-15

Symptoms: Miscarriage
Healthcare visit (other): Required (b)(6)
redacted (b)(6)

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

FieldPreferred term2021-092023-042024-11
HCVOUterine dilation and curettage ✓ ✓ ✓
SDAbortion spontaneous ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release