Y4J-25264-48594
2 vaccinations
10 coded responses
17 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Pfizer-BioNTech
-
2021-04-01
Registered in v-safe
- 2021-04-01
- 2021-04-03
- 2021-04-10
-
2021-04-17
Dose 2 — Pfizer-BioNTech
- 2021-04-17
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: BruisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Fair · Fatigue or tirednessFree text: BruisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Fatigue or tirednessFree text: BruisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workFree text: BruisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Survey response — day 7, dose 2MedDRA: Contusion — Feeling: Fair · Headache, Fatigue or tirednessFree text: BruisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — day 14, dose 2MedDRA: Lymph node pain — Feeling: FairFree text: Painful lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Survey response — day 21, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Potentially a swollen/painful lymph node in my neck. Not totally sure. Needs checking out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-15
-
2021-05-22
Survey response — day 35, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraines are getting worse but could be other factors.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Survey response — day 42, dose 2MedDRA: Migraine — Feeling: Good · Be unable to workFree text: Increasing migrainesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-17
- 2021-10-16
-
2022-04-17
Survey response — 12 months, dose 2MedDRA: Arthralgia, Wrong technique in product usage process — Feeling: Good · Be unable to do your normal daily activitiesFree text: Believe booster was administered into shoulder capsule. Caused a lot of pain. Poor placement plus I am 5'7" and under 130lb - my weight indicates a different length needle is needed for deltoid according to medical papers on this topic.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-17 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-08 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Bruising
Systemic reaction (other): Bruising
Systemic reaction (other): Bruising
Systemic reaction (other): Bruising
Release 7 — day 7, dose 2
Systemic reaction (other): Bruising
Release 8 — day 14, dose 2
Symptoms: Painful lymph node
Release 8 — day 21, dose 2
Symptoms: Potentially a swollen/painful lymph node in my neck. Not totally sure. Needs checking out.
Release 8 — day 35, dose 2
Symptoms: Migraines are getting worse but could be other factors.
Release 8 — day 42, dose 2
Symptoms: Increasing migraines
Release 11 — 12 months, dose 2
Symptoms: Believe booster was administered into shoulder capsule. Caused a lot of pain. Poor placement plus I am 5'7" and under 130lb - my weight indicates a different length needle is needed for deltoid according to medical papers on this topic.
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 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Wrong technique in product usage process | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release