3JL-32067-88450
5 vaccinations
9 coded responses
62 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 062 / CT
- Registered
- 2020-12-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-16
Registered in v-safe
-
2020-12-16
Dose 1 — Pfizer-BioNTech
- 2020-12-16
- 2020-12-17
- 2020-12-18
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-25
- 2020-12-30
- 2021-01-06
-
2021-01-07
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Pain · HeadacheFree text: Fever to 101.2 twenty-four hours after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Enlarged, tender supraclavicular lymph node on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Lymphadenopathy same side as injection; right subclavicularMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-04-10
- 2021-07-08
-
2021-10-02
Dose 3 — Pfizer-BioNTech
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2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Tender supraclavicular lymph node on ipsilateral side of injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Supraclavicular lymph node on ipsilateral side to shot swollen and painfulMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, SwellingFree text: Right supraclavicular lymph node chain (ipsilateral side to injection) swollenMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Lymphadenopathy supraclavicular ipsilateral side to shotMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: GoodFree text: Tender supraclavicular lymph nodes ipsilateral side to injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-16
-
2021-10-23
Survey response — day 21, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2022-01-01
- 2022-04-02
-
2022-04-30
Dose 4 — Moderna
- 2022-04-30
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend schoolAdult check-in
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-07-30
-
2022-09-10
Dose 5 — Moderna
- 2022-09-10
-
2022-09-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
-
2022-09-12
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-26
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-10
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | No |
| 4 | 2022-04-30 | Moderna | No |
| 5 | 2022-09-10 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Fever to 101.2 twenty-four hours after injection
Systemic reaction (other): Enlarged, tender supraclavicular lymph node on same side as injection
Systemic reaction (other): Lymphadenopathy same side as injection; right subclavicular
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tender supraclavicular lymph node on ipsilateral side of injection
Systemic reaction (other): Supraclavicular lymph node on ipsilateral side to shot swollen and painful
Systemic reaction (other): Right supraclavicular lymph node chain (ipsilateral side to injection) swollen
Systemic reaction (other): Lymphadenopathy supraclavicular ipsilateral side to shot
Systemic reaction (other): Tender supraclavicular lymph nodes ipsilateral side to injection
Release 10 — day 21, dose 3
Symptoms: Sore throat
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 | Oropharyngeal pain | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release