26E-53301-47081
4 vaccinations
7 coded responses
27 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 968 / HI
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-04
- 2021-02-11
-
2021-02-12
Dose 2 — Pfizer-BioNTech
-
2021-02-21
Survey response — day 7, dose 2MedDRA: Injection site pain, Lymph node pain, Pain — Feeling: GoodFree text: I did have minor tenderness at the injection site, minor body ache, and possible minor Left axillary lymph node tenderness on 2-13-21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-10-14
Dose 3 — Pfizer-BioNTech
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: GoodFree text: Eating late causes me Gastric RefluxMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Dose 4 — Moderna
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-25
-
2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Reaction to previous exposure to any vaccine — Feeling: Good · Site: PainFree text: Possible left armpit lymph node swelling which I had for my other Covid Vaccines.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Good · Site: PainFree text: Left Lymph Node Axillary Swelling- Also happened with other Covid VaccinesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Reaction to previous exposure to any vaccine — Feeling: Good · Site: SwellingFree text: Left Axillary Lymph node tenderness- happened with my other Covid VaccinesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event, Vaccine positive rechallenge — Feeling: Good · Site: SwellingFree text: Left Axial Lymph Node which occurred with my other Covid vaccines.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Survey response — day 7, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Same: Left Axillary Sl. SwellingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-07-23
- 2022-10-22
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-10-14 | Pfizer-BioNTech | No |
| 4 | 2022-04-23 | Moderna | No |
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): I did have minor tenderness at the injection site, minor body ache, and possible minor Left axillary lymph node tenderness on 2-13-21
Release 11 — 12 months, dose 2
Symptoms: Eating late causes me Gastric Reflux
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Possible left armpit lymph node swelling which I had for my other Covid Vaccines.
Systemic reaction (other): Left Lymph Node Axillary Swelling- Also happened with other Covid Vaccines
Systemic reaction (other): Left Axillary Lymph node tenderness- happened with my other Covid Vaccines
Systemic reaction (other): Left Axial Lymph Node which occurred with my other Covid vaccines.
Release 11 — day 7, dose 4
Systemic reaction (other): Same: Left Axillary Sl. Swelling
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 | Gastrooesophageal reflux disease | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release