4FM-17123-21076
3 vaccinations
9 coded responses
11 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 217 / MD
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Dose 1 — Pfizer-BioNTech
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2021-04-26
Dose 2 — Pfizer-BioNTech
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2021-04-27
Registered in v-safe
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Lymph nodes painful, armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain and swelling in lymph nodes: armpit, jaw, collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Lymph node pain and swelling - moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessFree text: Lymph node swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: RednessFree text: Lymph nodes- swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: RednessFree text: Lymph nodes swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 14, dose 2MedDRA: Contusion, Injection site erythema, Lymphadenopathy, Oral herpes — Feeling: GoodFree text: 8 days after vaccination a cold sore formed on my lip. Assuming from my weakened immune system.Lymph nodes continue to be swollen although getting better.Redness at injection site looks like a bruise now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-07-29
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Diabetes mellitus — Feeling: GoodFree text: Diabetes diagnosisMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Dose 3 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph nodes painful, armpit
Systemic reaction (other): Pain and swelling in lymph nodes: armpit, jaw, collarbone
Systemic reaction (other): Lymph node pain and swelling - moderate
Systemic reaction (other): Lymph node swelling
Systemic reaction (other): Lymph nodes- swollen
Systemic reaction (other): Lymph nodes swollen
Release 8 — day 7, dose 2
Systemic reaction (other): Swollen lymph nodes
Release 8 — day 14, dose 2
Symptoms: 8 days after vaccination a cold sore formed on my lip. Assuming from my weakened immune system.Lymph nodes continue to be swollen although getting better.Redness at injection site looks like a bruise now.
Release 10 — 6 months, dose 2
Symptoms: Diabetes diagnosis
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 | Contusion | ✓ | ✓ | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release