XUA-24737-08146
5 vaccinations
7 coded responses
40 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 940 / CA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-07
Dose 1 — Pfizer-BioNTech
-
2021-03-01
Dose 2 — Pfizer-BioNTech
-
2021-03-03
Registered in v-safe
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Medical counselling — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-05
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Site: Pain · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-08
Survey response — 7 day, dose 2MedDRA: Lymphadenopathy — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
- 2021-08-30
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-02-15
- 2022-03-28
-
2022-04-02
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Survey response — 7 day, dose 4MedDRA: Oropharyngeal pain — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-16
- 2022-07-02
-
2022-09-22
Dose 5 — Moderna
- 2022-10-01
- 2022-10-09
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Pfizer-BioNTech | |
| 2 | 2021-03-01 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-05 | Unsuccessful |
Free text
Release 5
Systemic reaction (other): Swollen tender 3 centimeter axillary lymph node and two swollen tender 1 x 2 centimeter supraclavicular lymph nodes
Systemic reaction (other): Persistent progressive increased painful left axillary adenopathy,, now measuring 6x3 cm. Also increased left supraclavicular adenopathy. Increased pain in left shoulder and left upper extremity. I had also developed adenopathy after the first injection, though only about half the size. It persisted for the full three weeks until I had the second injection.
Systemic reaction (other): Persistent left axillary adenopathy, which increased in size to 6x5 cm last night with an 8/10 on the pain scale, but is now down to 5x4 cm and 5/10 pain. Persistent left supraclav nodes, now down to 1.5 cm
Healthcare visit (other): Phone consultation with infectious disease specialist
Systemic reaction (other): Left axillary adenopathy down to 3x3cm, still 5/10 tender. Left supraclav adenopathy two non tender1.5 cm nodes.
Systemic reaction (other): Persistent 3cm left axillary adenopathy, less tender, 4/10,, and persistent nontender left supraclav adenopathy
Systemic reaction (other): Persistent 3 cm left axillary adenopathy and two persistent 1 1/2 cm left supraclavicular nodes
Release 11
Systemic reaction (other): Sore throat
Free-text releases are not linked to a specific 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 | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release