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UW9-19977-01076

4 vaccinations 11 coded responses 28 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
928 / CA
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-14
    Dose 2 — Pfizer-BioNTech
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches
    Free text: Lymphadenopathy L axillary and L cervical
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache
    Free text: Lymphadenopathy L cervical L axillary and L supraclavicular
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Lymphadenopathy L cervical, L supraclavicular, L axillary
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: L cervical LAD
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-21
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: L cervical lymphadenopathy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-15
    Survey response — 6 months, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Submandibular lymphadenopathy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-09-26
    Dose 3 — Pfizer-BioNTech
  17. 2021-09-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes on side of injection
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Swollen lymph nodes on same side as vaccine
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Improved lymph node swelling
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-10-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-10-31
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-28
    Survey response — 3 months, dose 3
    MedDRA: Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: URI for 5 days
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-28
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2021-12-29
  30. 2022-03-27
    Survey response — 6 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Developed Covid infection at end of jan into feb. All symptoms resolved.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-09-28
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  32. 2022-10-07
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-10-12
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  35. 2023-03-29
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Pfizer-BioNTech
22021-01-14Pfizer-BioNTech
32021-09-26Pfizer-BioNTech No
42022-09-28Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-12-28 Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-16

Systemic reaction (other): Lymphadenopathy L axillary and L cervical

2021-01-17

Systemic reaction (other): Lymphadenopathy L cervical L axillary and L supraclavicular

2021-01-18

Systemic reaction (other): Lymphadenopathy L cervical, L supraclavicular, L axillary

2021-01-20

Systemic reaction (other): L cervical LAD

Release 2 — day 7, dose 2

2021-01-21

Systemic reaction (other): L cervical lymphadenopathy

Release 9 — 6 months, dose 2

2021-07-15

Symptoms: Submandibular lymphadenopathy

Release 9 — days 1–6 daily, dose 3

2021-09-28

Systemic reaction (other): Swollen lymph nodes on side of injection

2021-09-30

Systemic reaction (other): Swollen lymph nodes on same side as vaccine

2021-10-02

Systemic reaction (other): Improved lymph node swelling

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: URI for 5 days

Release 11 — 6 months, dose 3

2022-03-27

Symptoms: Developed Covid infection at end of jan into feb. All symptoms resolved.

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
SDCOVID-19 · · ✓
SDLymphadenopathy ✓ · ✓
SDUpper respiratory tract infection · · ✓
SROLymphadenopathy ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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