4DL-25013-55401

3 vaccinations 13 coded responses 31 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 300 / GA
Registered: 2021-01-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

WCD-26664-58615 Child or adolescent in my care · Male · 2021-12-29

Timeline

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-07
Registered in v-safe
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Swollen lymph nodes (size of an egg) under arm on injection site arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Swollen lymph nodes armpit of injection site arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Common common cold symptoms for 5 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-31
Dose 3 — Pfizer-BioNTech
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good · Site: Pain

Free text: Underarm tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: Pain

Free text: Underarm swelling and tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Left axillary lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Left axillary lymph node swelling and pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Left arm axillary lymph node swelling, tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Left arm axillary lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Left arm axillary lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — day 28, dose 3
MedDRA: Influenza — Feeling: Good

Free text: Flu

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — day 35, dose 3
MedDRA: Laryngitis, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, laryngitis

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-12-31	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Swollen lymph nodes (size of an egg) under arm on injection site arm.

2021-01-31

Systemic reaction (other): Swollen lymph nodes armpit of injection site arm.

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Swollen lymph nodes

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Common common cold symptoms for 5 days.

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Underarm tenderness

2022-01-02

Systemic reaction (other): Underarm swelling and tenderness

2022-01-03

Systemic reaction (other): Left axillary lymph node swelling

2022-01-04

Systemic reaction (other): Left axillary lymph node swelling and pain

2022-01-05

Systemic reaction (other): Left arm axillary lymph node swelling, tenderness

2022-01-06

Systemic reaction (other): Left arm axillary lymph node swelling

Release 10 — day 7, dose 3

2022-01-07

Systemic reaction (other): Left arm axillary lymph node swelling

Release 11 — day 28, dose 3

2022-01-28

Symptoms: Flu

Release 11 — day 35, dose 3

2022-02-04

Symptoms: Sore throat, laryngitis

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	Influenza	·	·	✓
SD	Laryngitis	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Tenderness	·	·	✓

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