Y8V-68175-56168
2 vaccinations
8 coded responses
16 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 481 / MI
- Registered
- 2021-09-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-09-09
Dose 1 — Pfizer-BioNTech
-
2021-09-28
Registered in v-safe
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2021-09-28
Survey response — day 14, dose 1MedDRA: Fatigue, Lymph node pain, Lymphadenopathy, Oropharyngeal pain, Pain, Swelling, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: BILATERAL lymph node swelling and pain spreading from armpit on vaccine side to opposite side and over entire body w extreme fatigue, sore throat, and tinnitus throughout first week. Continuation of symptoms through day 20 at time of this report.MedDRA releases: 2024-11 · check-in free text available
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2021-09-28
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-09-30
Dose 2 — Pfizer-BioNTech
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2021-09-30
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-09-30
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-10-01
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ear pain, bilateral lymphadenopathyMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: LymphadenopathyMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: LymphadenopathyMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: LymphadenopathyMedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: LymphadenopathyMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Lymphadenopathy · Healthcare visit (other): I have had 2 appointments scheduled for the last two days and cancelled by the providers. I have appointments now scheduled for tomorrow.MedDRA releases: 2024-11 · check-in free text available
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2021-10-06
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 professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-07
Survey response — day 7, dose 2MedDRA: Lymphadenopathy, Massage, Office visit — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Lymphadenopathy · Healthcare visit (other): Lymphatic drainage massage and primary care doctorMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-13
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2021-10-13
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-13
- 2021-12-30
- 2022-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-09 | Pfizer-BioNTech | No |
| 2 | 2021-09-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-28 | Successful 2021-09-30 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-10-06 | Successful | Participant prefers to complete VAERS report online |
| 2021-10-07 | Successful 2021-10-13 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 14, dose 1
Symptoms: BILATERAL lymph node swelling and pain spreading from armpit on vaccine side to opposite side and over entire body w extreme fatigue, sore throat, and tinnitus throughout first week. Continuation of symptoms through day 20 at time of this report.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Ear pain, bilateral lymphadenopathy
Systemic reaction (other): Lymphadenopathy
Systemic reaction (other): Lymphadenopathy
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Lymphadenopathy
Systemic reaction (other): Lymphadenopathy
Systemic reaction (other): Lymphadenopathy
Healthcare visit (other): I have had 2 appointments scheduled for the last two days and cancelled by the providers. I have appointments now scheduled for tomorrow.
Release 10 — day 7, dose 2
Systemic reaction (other): Lymphadenopathy
Healthcare visit (other): Lymphatic drainage massage and primary care doctor
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 | Massage | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release