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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

  1. 2021-01-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-01
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-12
    Dose 2 — Pfizer-BioNTech
  7. 2021-02-21
    Survey response — day 7, dose 2
    MedDRA: Injection site pain, Lymph node pain, Pain — Feeling: Good
    Free text: I did have minor tenderness at the injection site, minor body ache, and possible minor Left axillary lymph node tenderness on 2-13-21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-14
    Dose 3 — Pfizer-BioNTech
  16. 2022-02-12
    Survey response — 12 months, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Good
    Free text: Eating late causes me Gastric Reflux
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-04-23
    Dose 4 — Moderna
  18. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  20. 2022-04-26
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain
    Free text: Possible left armpit lymph node swelling which I had for my other Covid Vaccines.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Good · Site: Pain
    Free text: Left Lymph Node Axillary Swelling- Also happened with other Covid Vaccines
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Swelling
    Free text: Left Axillary Lymph node tenderness- happened with my other Covid Vaccines
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-04-29
    Survey response — days 1–6 daily, dose 4
    MedDRA: Unevaluable event, Vaccine positive rechallenge — Feeling: Good · Site: Swelling
    Free text: Left Axial Lymph Node which occurred with my other Covid vaccines.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-30
    Survey response — day 7, dose 4
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: Same: Left Axillary Sl. Swelling
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-05-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-14
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-06-04
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-07-23
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2023-04-23
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Pfizer-BioNTech
22021-02-12Pfizer-BioNTech
32021-10-14Pfizer-BioNTech No
42022-04-23Moderna No

Free text

Release 4 — day 7, dose 2

2021-02-21

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

2022-02-12

Symptoms: Eating late causes me Gastric Reflux

Release 11 — days 1–6 daily, dose 4

2022-04-26

Systemic reaction (other): Possible left armpit lymph node swelling which I had for my other Covid Vaccines.

2022-04-27

Systemic reaction (other): Left Lymph Node Axillary Swelling- Also happened with other Covid Vaccines

2022-04-28

Systemic reaction (other): Left Axillary Lymph node tenderness- happened with my other Covid Vaccines

2022-04-29

Systemic reaction (other): Left Axial Lymph Node which occurred with my other Covid vaccines.

Release 11 — day 7, dose 4

2022-04-30

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

FieldPreferred term2021-092023-042024-11
SDGastrooesophageal reflux disease · · ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓
SROPain ✓ ✓ ✓
SROReaction to previous exposure to any vaccine · · ✓
SROUnevaluable event · · ✓
SROVaccine positive rechallenge · · ✓

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