Z4P-27214-95874
4 vaccinations
7 coded responses
33 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 765 / TX
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Pfizer-BioNTech
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Pfizer-BioNTech
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass, Breast swelling, Breast tenderness, Hysterectomy, Tenderness — Feeling: Good · Site: Pain, SwellingFree text: May be unrelated but I woke up on 2/5 with tender breasts (I've had a hysterectomy so I no longer have a cycle & this is not usual for me), then when I woke up on 2/6 I have swelling on the left side of my left breast ('side boob') & I feel a lump under my armpit that is tender to the touch. I had both of my vaccines in my left arm. I've never had such symptoms before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen lymph node in left armpit (same arm I got the 2nd vaccination doese)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: lymph node under left arm still swollen (same arm received injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — day 7, dose 2MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Site: Pain, SwellingFree text: lymph node under left arm still slightly tender & swollen (same arm got injection in)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-25
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-12-29
Dose 3 — Pfizer-BioNTech
- 2022-02-04
- 2022-06-29
-
2022-10-08
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-11
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Joint painsFree text: Swollen lymph node in the armpit of the arm I got the injection inMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Joint painsFree text: lymph node in armpit of arm of injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2023-01-09
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2023-04-08
Survey response — 6 months, dose 4MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-04-08
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2023-04-10
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-12-29 | Pfizer-BioNTech | No |
| 4 | 2022-10-08 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-08 | Successful 2023-04-10 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): May be unrelated but I woke up on 2/5 with tender breasts (I've had a hysterectomy so I no longer have a cycle & this is not usual for me), then when I woke up on 2/6 I have swelling on the left side of my left breast ('side boob') & I feel a lump under my armpit that is tender to the touch. I had both of my vaccines in my left arm. I've never had such symptoms before.
Systemic reaction (other): Swollen lymph node in left armpit (same arm I got the 2nd vaccination doese)
Systemic reaction (other): lymph node under left arm still swollen (same arm received injection)
Release 4 — day 7, dose 2
Systemic reaction (other): lymph node under left arm still slightly tender & swollen (same arm got injection in)
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph node in the armpit of the arm I got the injection in
Systemic reaction (other): lymph node in armpit of arm of injection
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 | Unevaluable event | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Axillary mass | ✓ | ✓ | ✓ |
| SRO | Breast swelling | ✓ | ✓ | ✓ |
| SRO | Breast tenderness | ✓ | ✓ | ✓ |
| SRO | Hysterectomy | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release