X9Z-30284-93085
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 617 / IL
- Registered
- 2021-07-31
- Relationship
- Other
- Guardian
- H2B-28517-07465
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-30
Dose 1 — Pfizer-BioNTech
-
2021-07-31
Registered in v-safe
-
2021-07-31
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Breast swelling, Mass — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lumps and swollen breastsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professional1 call case(s)
-
2021-08-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-08-03
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Breast pain — Feeling: Good · Site: PainFree text: Breast painMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-31 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Lumps and swollen breasts
Systemic reaction (other): Breast pain
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 | Breast pain | ✓ | · | ✓ |
| SRO | Breast swelling | ✓ | · | ✓ |
| SRO | Mass | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release