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Z9U-17509-43366

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
496 / MI
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  5. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness
    Free text: Swollen lymph nodes. Under my left arm pit/side breast. Moderate pain! Above my left clavicle. The size of a grape. It did swell to golf ball size a few days after first dose. Before 2nd vaccine it was about a small blueberry. Mildly painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains
    Free text: Swelling of lymph nodes under arm pit ad above clavicle. Moderate pain associated with it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain, Swelling
    Free text: Swollen lymph nodes under arm and above clavicle. Not as much pain today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Lymph nodes still swollen under left arm and above left clavicle. They are getting smaller and less pain daily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node above left clavicle. Not at all tender to the touch anymore. Size of large blueberry
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Still swollen lymph node above left clavicle. Size of blueberry. No pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-18
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Still swollen lymph node above left clavicle. Still size of blueberry. No pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-04-11
    Survey response — 12 months, dose 2
    MedDRA: Intervertebral disc protrusion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed herniated L5 S1 disc
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-11
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-04-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Pfizer-BioNTech
22021-04-09Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2022-04-11 Successful
2022-04-14
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Swollen lymph nodes. Under my left arm pit/side breast. Moderate pain! Above my left clavicle. The size of a grape. It did swell to golf ball size a few days after first dose. Before 2nd vaccine it was about a small blueberry. Mildly painful

2021-04-11

Systemic reaction (other): Swelling of lymph nodes under arm pit ad above clavicle. Moderate pain associated with it.

2021-04-12

Systemic reaction (other): Swollen lymph nodes under arm and above clavicle. Not as much pain today

2021-04-13

Systemic reaction (other): Lymph nodes still swollen under left arm and above left clavicle. They are getting smaller and less pain daily

2021-04-14

Systemic reaction (other): Swollen lymph node above left clavicle. Not at all tender to the touch anymore. Size of large blueberry

2021-04-15

Systemic reaction (other): Still swollen lymph node above left clavicle. Size of blueberry. No pain

Release 7 — day 7, dose 2

2021-04-18

Systemic reaction (other): Still swollen lymph node above left clavicle. Still size of blueberry. No pain.

Release 11 — 12 months, dose 2

2022-04-11

Symptoms: Diagnosed herniated L5 S1 disc

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

FieldPreferred term2021-092023-042024-11
SDIntervertebral disc protrusion · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release