4DN-21402-00289

4 vaccinations 20 coded responses 45 check-ins 20 free-text entries 0 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 554 / MN
Registered: 2021-03-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-24
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-04-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-16
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
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes in left arm pit (its the side I got the injection on)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Slight swelling of lymph node under the arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Minor swelling of glands in both armpits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: I still have occasional swelling in the glands in each armpit. It comes and goes periodically.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Pfizer-BioNTech
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swelling under my arms

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Swelling in my armpit on the side of injection

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Swelling in my armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Chills, Joint pains, Muscle or body aches

Free text: Swelling under the armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Slight swelling under the armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Muscle or body aches

Free text: Slight swelling in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Survey response — day 14, dose 3
MedDRA: Nasal congestion — Feeling: Good

Free text: Nasal congestion for the last several days to one week.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-16
Survey response — 3 months, dose 3
MedDRA: Palpitations — Feeling: Good · Be unable to work or attend school

Free text: Heart palpitations on January 11-13

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Dose 4 — Moderna
2022-04-04
Survey response — day 0, dose 4
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swelling under arm that I received injection in.

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-04-06
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swelling under armpit of arm I got injection in

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Swelling in the armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Swelling under the armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swelling under armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swelling under armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Survey response — day 7, dose 4
MedDRA: Oedema peripheral — Feeling: Good · Fatigue or tiredness

Free text: Swelling under armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — day 14, dose 4
MedDRA: Headache, Respiratory tract congestion, Sinus congestion — Feeling: Fair

Free text: Increased congestion/swelling in sinuses; headaches

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-05
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-11-17	Pfizer-BioNTech	No
4	2022-04-04	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Swollen lymph nodes in left arm pit (its the side I got the injection on)

2021-04-19

Systemic reaction (other): Slight swelling of lymph node under the arm pit

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Minor swelling of glands in both armpits

Release 8 — day 42, dose 2

2021-05-27

Symptoms: I still have occasional swelling in the glands in each armpit. It comes and goes periodically.

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): Swelling under my arms

2021-11-19

Systemic reaction (other): Swelling in my armpit on the side of injection

2021-11-20

Systemic reaction (other): Swelling in my armpit

2021-11-21

Systemic reaction (other): Swelling under the armpit

2021-11-22

Systemic reaction (other): Slight swelling under the armpit

2021-11-23

Systemic reaction (other): Slight swelling in armpit

Release 10 — day 14, dose 3

2021-12-01

Symptoms: Nasal congestion for the last several days to one week.

Release 11 — 3 months, dose 3

2022-02-16

Symptoms: Heart palpitations on January 11-13

Release 11 — day 0, dose 4

2022-04-04

Systemic reaction (other): Swelling under arm that I received injection in.

Release 11 — days 1–6 daily, dose 4

2022-04-06

Systemic reaction (other): Swelling under armpit of arm I got injection in

2022-04-07

Systemic reaction (other): Swelling in the armpit

2022-04-08

Systemic reaction (other): Swelling under the armpit

2022-04-09

Systemic reaction (other): Swelling under armpit

2022-04-10

Systemic reaction (other): Swelling under armpit

Release 11 — day 7, dose 4

2022-04-11

Systemic reaction (other): Swelling under armpit

Release 11 — day 14, dose 4

2022-04-18

Symptoms: Increased congestion/swelling in sinuses; headaches

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	Headache	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Palpitations	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	·	·	✓

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