YPB-13153-86109
2 vaccinations
3 coded responses
6 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 968 / HI
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-28
Dose 1 — Pfizer-BioNTech
-
2021-05-05
Registered in v-safe
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2021-05-05
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: swollen lymph node under clavicle on right side, opposite from injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-12
Survey response — day 14, dose 1MedDRA: Circulatory collapse, Lymphadenopathy, Office visit, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Lymph swelling up neck. When looking over right shoulder like when backing up a car, swollen area cuts of circulation so vision blacks out. · Healthcare visit (other): in person office visit to PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-19
Survey response — day 21, dose 1MedDRA: Lymphadenopathy, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Swollen lymph nodes blocking carotid artery when turn neck, more swelling and pain in clavicle lymph nodes. Ear pain and ringing in ears. · Healthcare visit (other): in patient visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-09
-
2021-08-12
Dose 2 — Pfizer-BioNTech
- 2021-10-27
- 2022-02-10
- 2022-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Pfizer-BioNTech | |
| 2 | 2021-08-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Unsuccessful | |
| 2021-05-12 | Unsuccessful | |
| 2021-05-19 | Unsuccessful |
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): swollen lymph node under clavicle on right side, opposite from injection site
Release 8 — day 14, dose 1
Symptoms: Lymph swelling up neck. When looking over right shoulder like when backing up a car, swollen area cuts of circulation so vision blacks out.
Healthcare visit (other): in person office visit to PCP
Release 8 — day 21, dose 1
Symptoms: Swollen lymph nodes blocking carotid artery when turn neck, more swelling and pain in clavicle lymph nodes. Ear pain and ringing in ears.
Healthcare visit (other): in patient visit
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 | Circulatory collapse | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release