YVB-61734-55318
4 vaccinations
9 coded responses
48 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Dose 1 — Pfizer-BioNTech
-
2021-03-24
Registered in v-safe
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-04-04
-
2021-04-11
Dose 2 — Pfizer-BioNTech
- 2021-04-11
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-07-11
- 2021-10-10
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2021-11-09
Dose 3 — Pfizer-BioNTech
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2021-11-09
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-11-11
-
2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, ItchingFree text: Tenderness and enlarged lymph nodes at/along collarboneMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Still have enlarged tender lymph node on collarbone on the side of injectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still swollen lymph node on collarbone but no tendernessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-16
- 2021-11-23
- 2021-11-30
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2021-12-07
Survey response — day 28, dose 3MedDRA: Abdominal discomfort, Abdominal pain upper, Back pain, Discomfort, Flank pain, Musculoskeletal discomfort — Feeling: FairFree text: Discomfort and pain of the upper abdomen moving intermittently into my side and back.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-21
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2022-02-08
Survey response — 3 months, dose 3MedDRA: Abdominal pain — Feeling: Fair · Be unable to work or attend school, 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: Continuing to diagnose abdominal pain since early December 2021.MedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-10
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2022-09-06
Dose 4 — ModernaCo-administered: Flu
- 2022-09-06
-
2022-09-08
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: GoodFree text: I had all my symptoms the day after the shot, but gone today.MedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Survey response — days 1–6 daily, dose 4MedDRA: Neck mass — Feeling: Good · Site: PainFree text: Small movable lymph node lump on left collarbone.MedDRA releases: 2024-11 · check-in free text available
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2022-09-10
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still small swollen lymph node on left collarbone.MedDRA releases: 2024-11 · check-in free text available
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2022-09-11
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still small swollen lymph node on left collarboneMedDRA releases: 2024-11 · check-in free text available
- 2022-09-12
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-12-06
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Pfizer-BioNTech | |
| 2 | 2021-04-11 | Pfizer-BioNTech | |
| 3 | 2021-11-09 | Pfizer-BioNTech | No |
| 4 | 2022-09-06 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-08 | Successful 2022-03-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tenderness and enlarged lymph nodes at/along collarbone
Systemic reaction (other): Still have enlarged tender lymph node on collarbone on the side of injection
Systemic reaction (other): Still swollen lymph node on collarbone but no tenderness
Release 10 — day 28, dose 3
Symptoms: Discomfort and pain of the upper abdomen moving intermittently into my side and back.
Release 11 — 3 months, dose 3
Symptoms: Continuing to diagnose abdominal pain since early December 2021.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had all my symptoms the day after the shot, but gone today.
Systemic reaction (other): Small movable lymph node lump on left collarbone.
Systemic reaction (other): Still small swollen lymph node on left collarbone.
Systemic reaction (other): Still small swollen lymph node on left collarbone
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Musculoskeletal discomfort | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Neck mass | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release