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2EM-11245-47338

4 vaccinations 9 coded responses 35 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
125 / NY
Registered
2021-03-10
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Swelling — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Swelling of scars from a surgery had 6 months ago and increased swelling from a surgery 8 weeks ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Ear ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Survey response — day 35, dose 2
    MedDRA: Pre-existing disease, Pruritus, Scar, Testicular swelling — Feeling: Fair
    Free text: Scars from surgeries on 9/20 and 1/21 are swelling again and itching like a rash. The swelling scars first started after the first vaccination and nothing happened at the 2nd. Now its started up again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Rash, Rash pruritic — Feeling: Fair
    Free text: Itchy rash on back of neck and scalp
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-24
    Dose 3 — Pfizer-BioNTech
  28. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-10-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-23
    Survey response — 3 months, dose 3
    MedDRA: Diarrhoea, Ear pain, Headache, Nausea — Feeling: Fair
    Free text: Earaches, headaches, diarrhea, nausea
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-02-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-22
    Dose 4 — Moderna
  34. 2022-04-14
    Survey response — day 21, dose 4
    MedDRA: Influenza like illness — Feeling: Good · Be unable to do your normal daily activities
    Free text: The day after receiving my 4th shot, switching up to Modernera, I experienced flu-like symptoms for 3 days.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-04-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-05-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-21
    Survey response — 3 months, dose 4
    MedDRA: Cough, Ear pain, Headache, Nasal congestion, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Headache, earache, cough, stuffy nose · Healthcare visit (other): In person doctor appointment with regular doctor
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-06-21
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  40. 2022-06-22
  41. 2022-09-20
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, Discomfort, Dyspnoea, Fatigue, Headache, Malaise, Pain, Painful respiration, Vaccination site pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: After the Moderna Bi-Valent Covid shot I because ill the following morning. My symptoms were difficulty breathing deeply with discomfort, ashiness, fatigue, and extremely sore arm at site of vaccination, and very bad headaches.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2023-03-22
    Survey response — 12 months, dose 4
    MedDRA: Cough, Ear pain, Headache, Oropharyngeal pain, Pyrexia, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  43. 2023-03-22
    Report sent to call center — 12 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  44. 2023-03-23
  45. 2023-03-23

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Pfizer-BioNTech
22021-03-31Pfizer-BioNTech
32021-08-24Pfizer-BioNTech No
42022-03-22Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Swelling of scars from a surgery had 6 months ago and increased swelling from a surgery 8 weeks ago

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Ear ache

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Scars from surgeries on 9/20 and 1/21 are swelling again and itching like a rash. The swelling scars first started after the first vaccination and nothing happened at the 2nd. Now its started up again.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Itchy rash on back of neck and scalp

Release 10 — 3 months, dose 3

2021-11-23

Symptoms: Earaches, headaches, diarrhea, nausea

Release 11 — day 21, dose 4

2022-04-14

Symptoms: The day after receiving my 4th shot, switching up to Modernera, I experienced flu-like symptoms for 3 days.

Release 12 — 3 months, dose 4

2022-06-21

Symptoms: Headache, earache, cough, stuffy nose
Healthcare visit (other): In person doctor appointment with regular doctor

Release 12 — 6 months, dose 4

2022-09-20

Symptoms: After the Moderna Bi-Valent Covid shot I because ill the following morning. My symptoms were difficulty breathing deeply with discomfort, ashiness, fatigue, and extremely sore arm at site of vaccination, and very bad headaches.

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
HCVOOffice visit · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea · · ✓
SDDiscomfort · · ✓
SDDyspnoea · · ✓
SDEar pain · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInfluenza like illness · · ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPainful respiration · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPyrexia · · ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDScar ✓ ✓ ✓
SDSneezing · · ✓
SDTesticular swelling ✓ ✓ ✓
SDVaccination site pain · · ✓
SROEar pain ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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