2QZ-33194-77541

4 vaccinations 13 coded responses 49 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 857 / AZ
Registered: 2021-01-23

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

FTC-55770-80782 Child or adolescent in my care · Female · 2021-12-04

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-23
Registered in v-safe
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Enlarged clavicle lymph node that's tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Swollen clavicle lymph nodes that are tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Swollen and tender clavicle lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site erythema, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness

Free text: Injection site looks a little bruised now that the redness is less, clavicle lymph nodes on left side (injection side) are still swollen and tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Enlarged and tender clavicle lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Left side (injection side) lymph nodes near clavicle are swollen and tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen and tender clavicle lymph nodes on left side (injection side l

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Pfizer-BioNTech
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-22
Dose 4 — Pfizer-BioNTech
2022-11-22
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-25
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-26
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-27
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-28
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-06
Survey response — day 14, dose 4
MedDRA: Cough, Nasal congestion, Sinus congestion — Feeling: Good

Free text: Stuffy nose, cough, sinus and nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Survey response — day 21, dose 4
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Continued sore throat and congestion off and on for about 2 weeks. Varied levels of fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-01-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-23
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-12-02	Pfizer-BioNTech	No
4	2022-11-22	Pfizer-BioNTech	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Enlarged clavicle lymph node that's tender

2021-01-24

Systemic reaction (other): Swollen clavicle lymph nodes that are tender

2021-01-25

Systemic reaction (other): Swollen and tender clavicle lymph nodes

2021-01-26

Systemic reaction (other): Injection site looks a little bruised now that the redness is less, clavicle lymph nodes on left side (injection side) are still swollen and tender

2021-01-27

Systemic reaction (other): Enlarged and tender clavicle lymph nodes

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Left side (injection side) lymph nodes near clavicle are swollen and tender

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Swollen and tender clavicle lymph nodes on left side (injection side l

Release 12 — days 1–6 daily, dose 4

2022-11-25

Systemic reaction (other): Sore throat

2022-11-26

Systemic reaction (other): Sore throat

2022-11-27

Systemic reaction (other): Sore throat

2022-11-28

Systemic reaction (other): Sore throat

Release 12 — day 14, dose 4

2022-12-06

Symptoms: Stuffy nose, cough, sinus and nasal congestion

Release 12 — day 21, dose 4

2022-12-16

Symptoms: Continued sore throat and congestion off and on for about 2 weeks. Varied levels of fatigue

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	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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