ZEX-23228-73451
3 vaccinations
8 coded responses
12 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 852 / AZ
- Registered
- 2021-10-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Dose 2 — Pfizer-BioNTech
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2021-10-09
Dose 3 — Pfizer-BioNTech
-
2021-10-11
Registered in v-safe
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2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass, Induration, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Approx. 30 hours after my 3rd shot I developed a wiffle ball size lump under my left arm with a small rash bordering the inferior medial border of the lump. The lump felt firm but did not hurt to palpate. This morning the size of the lump has goneMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Lymph node swelling plus rash under arm.MedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Rash, Tenderness — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Lymph node swelling, minimal. Rash minimal. Decreased tenderness under arm.MedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Rash — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection siteFree text: No lymph node swelling today. Rash is on extremities and stomach area.. Rash gone from underarm.MedDRA releases: 2024-11 · check-in free text available
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2021-10-16
Health check-in — day 7, dose 3Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-10-23
Survey response — day 14, dose 3MedDRA: Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Hives · Healthcare visit (other): Dermatologist PAMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-27
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2021-10-27
Callback requested for03:05PM ET
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2021-10-27
Call successfulCompleted over the phone
- 2021-10-30
- 2021-11-06
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2021-11-13
Survey response — day 35, dose 3MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: FairFree text: Increased RA symptoms in shoulders and right elbow.MedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — day 42, dose 3MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-23
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2022-01-08
Survey response — 3 months, dose 3MedDRA: Adverse drug reaction, Medical counselling, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hives from a Statin medication my PCP tried to have me start. · Healthcare visit (other): Called my PCP and he discontinued medicationMedDRA releases: 2024-11 · check-in free text available
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2022-01-08
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-10
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | No |
| 2 | 2021-04-06 | Pfizer-BioNTech | No |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-23 | Successful 2021-10-27 |
Completed over the phone |
| 2021-11-20 | Unsuccessful | |
| 2022-01-08 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Approx. 30 hours after my 3rd shot I developed a wiffle ball size lump under my left arm with a small rash bordering the inferior medial border of the lump. The lump felt firm but did not hurt to palpate. This morning the size of the lump has gone cut off by CDC
Systemic reaction (other): Lymph node swelling plus rash under arm.
Systemic reaction (other): Lymph node swelling, minimal. Rash minimal. Decreased tenderness under arm.
Systemic reaction (other): No lymph node swelling today. Rash is on extremities and stomach area.. Rash gone from underarm.
Release 10 — day 14, dose 3
Release 10 — day 35, dose 3
Symptoms: Increased RA symptoms in shoulders and right elbow.
Release 10 — day 42, dose 3
Symptoms: Sinus infection
Release 10 — 3 months, dose 3
Symptoms: Hives from a Statin medication my PCP tried to have me start.
Healthcare visit (other): Called my PCP and he discontinued medication
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Adverse drug reaction | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Axillary mass | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release