3HA-23621-55907
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 565 / MN
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Pfizer-BioNTech
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
-
2021-01-18
Dose 2 — Pfizer-BioNTech
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenitis — Feeling: Good · Site: PainFree text: Mild ipsilateral axillary discomfort, suspect its a mildly inflamed lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen ipsilateral axillary lymph node-mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: Mild ipsilateral axillary lymph node swelling and tenderness remains. Slightly better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph node is down further today. MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-02-01
-
2021-02-08
Survey response — day 21, dose 2MedDRA: Testis discomfort — Feeling: GoodFree text: Mild intermittent testicular discomfort. Not sure if its related to the vaccine or not. Kind of ignored it at first and didnt think to report it last week. Its happened a few times the past couple of weeks. More yesterday. Fine today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-04-19
- 2021-07-19
- 2022-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Mild ipsilateral axillary discomfort, suspect its a mildly inflamed lymph node
Systemic reaction (other): Swollen ipsilateral axillary lymph node-mild
Systemic reaction (other): Mild ipsilateral axillary lymph node swelling and tenderness remains. Slightly better today
Systemic reaction (other): Lymph node is down further today. Mild
Release 3 — day 21, dose 2
Symptoms: Mild intermittent testicular discomfort. Not sure if its related to the vaccine or not. Kind of ignored it at first and didnt think to report it last week. Its happened a few times the past couple of weeks. More yesterday. Fine today.
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 | Testis discomfort | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release