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4GE-25144-63899

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
544 / WI
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Lymphadenopathy, Photophobia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Eyes sensitive to light, ears hurt, lymph nodes and glands swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site rash, Lip blister, Rash — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Blister on lip, rash on back and injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lip blister, Lymph node pain, Lymphadenopathy, Rash, Tenderness, Urticaria — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Free text: Lymph nodes and glands enlarged and hurt, hives on stomach, rash on back, lip blistered, side of neck tender
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Lymph nodes and glands slightly swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphoedema, Peripheral swelling — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Non injection arm swelled today -lymphedema
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral swelling — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Non-injection arm has swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-12
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy, Peripheral swelling — Feeling: Good · Headache, Joint pains, Muscle or body aches
    Free text: Non-injection arm swelling, lymph nodes enlarged under arms, by collar bones and breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Pfizer-BioNTech
22021-03-05Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Eyes sensitive to light, ears hurt, lymph nodes and glands swelling

2021-03-07

Systemic reaction (other): Blister on lip, rash on back and injection site

2021-03-08

Systemic reaction (other): Lymph nodes and glands enlarged and hurt, hives on stomach, rash on back, lip blistered, side of neck tender

2021-03-09

Systemic reaction (other): Lymph nodes and glands slightly swollen

2021-03-10

Systemic reaction (other): Non injection arm swelled today -lymphedema

2021-03-11

Systemic reaction (other): Non-injection arm has swollen

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Non-injection arm swelling, lymph nodes enlarged under arms, by collar bones and breast

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

FieldPreferred term2021-092023-042024-11
SROEar pain ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROLip blister ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROLymphoedema ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROTenderness ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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

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