Y8Q-10201-06664
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 933 / CA
- Registered
- 2020-12-20
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-20
Registered in v-safe
-
2020-12-20
Dose 1 — Pfizer-BioNTech
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2021-01-03
-
2021-01-10
Dose 2 — Pfizer-BioNTech
- 2021-01-10
- 2021-01-14
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-16
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
- 2021-01-24
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-04-11
Survey response — 3 months, dose 2MedDRA: Alanine aminotransferase increased, Aspartate aminotransferase increased, Axillary mass, Blood alkaline phosphatase increased, Breast swelling, Breast tenderness, Leukocytosis, White blood cell count increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Swollen, tender breast most noted perimenstually. Small, firm armpit mass. Lab show leukocytosis of 12. Elevated ALT (110), mildly elevated AST (55), elevated alk phos. No fever. No respiratory symptoms. No rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-10
Call successfulParticipant prefers to complete VAERS report online
-
2021-07-11
Survey response — 6 months, dose 2MedDRA: Breast tenderness, Lymph node pain, Mass, Office visit, Tenderness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had right axillary/breast tissue tenderness, tenderness that persisted before & after menstruation, that became very tender after my vaccination. There was a palpable mass with normal ultrasound and mammogram. Tissue removed with resolution. · Healthcare visit (other): Surgeon consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-20
- 2022-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-20 | Pfizer-BioNTech | |
| 2 | 2021-01-10 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-16 | priority 2/3 | |
| 2021-04-11 | Successful 2021-06-10 |
Participant prefers to complete VAERS report online |
| 2021-07-11 | Unsuccessful |
Free text
Release 7 — 3 months, dose 2
Symptoms: Swollen, tender breast most noted perimenstually. Small, firm armpit mass. Lab show leukocytosis of 12. Elevated ALT (110), mildly elevated AST (55), elevated alk phos. No fever. No respiratory symptoms. No rash.
Release 9 — 6 months, dose 2
Symptoms: I had right axillary/breast tissue tenderness, tenderness that persisted before & after menstruation, that became very tender after my vaccination. There was a palpable mass with normal ultrasound and mammogram. Tissue removed with resolution.
Healthcare visit (other): Surgeon consultation
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Alanine aminotransferase increased | ✓ | ✓ | ✓ |
| SD | Aspartate aminotransferase increased | ✓ | ✓ | ✓ |
| SD | Axillary mass | ✓ | ✓ | ✓ |
| SD | Blood alkaline phosphatase increased | ✓ | ✓ | ✓ |
| SD | Breast swelling | ✓ | ✓ | ✓ |
| SD | Breast tenderness | ✓ | ✓ | ✓ |
| SD | Leukocytosis | ✓ | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SD | White blood cell count increased | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release