3CK-30462-15037
4 vaccinations
6 coded responses
45 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Pfizer-BioNTech
- 2021-03-11
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Pfizer-BioNTech
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy, Self-medication — Feeling: Good · Site: Pain · Be unable to workFree text: Swollen lymph nodes and pain in armpit of injected arm - mild to moderate, responds to ibuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Erythema, Feeling hot, Injection site mass, Lymph node pain, Self-medication, Skin warm — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain and swollen lymph node in armpit of injected arm. Pain is moderate, responds to ibuprofen. Swollen lymph node is red, warm and painful to the touch, a lump about the size/shape of a small eggMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Feeling hot, Oedema peripheral — Feeling: Good · Site: PainFree text: Injected armpit is swollen and painful/warm to the touch. Pain level is mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Fatigue or tirednessFree text: Occasional mild pain in armpit of injected armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-11-11
Dose 3 — Pfizer-BioNTech
- 2021-11-11
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
-
2022-05-12
Survey response — 6 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Contracted COVID-19, first tested positive on 2/24/22.MedDRA releases: 2024-11 · check-in free text available
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2022-09-15
Dose 4 — Pfizer-BioNTech
- 2022-10-11
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-15
-
2023-03-16
Survey response — 6 months, dose 4MedDRA: Pharyngitis streptococcal — 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 visitMedDRA releases: 2024-11
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2023-03-16
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes and pain in armpit of injected arm - mild to moderate, responds to ibuprofen
Systemic reaction (other): Pain and swollen lymph node in armpit of injected arm. Pain is moderate, responds to ibuprofen. Swollen lymph node is red, warm and painful to the touch, a lump about the size/shape of a small egg
Systemic reaction (other): Injected armpit is swollen and painful/warm to the touch. Pain level is mild.
Systemic reaction (other): Occasional mild pain in armpit of injected arm
Release 11 — 6 months, dose 3
Symptoms: Contracted COVID-19, first tested positive on 2/24/22.
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 | Pharyngitis streptococcal | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release