4GV-21730-69309
3 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 923 / CA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Pfizer-BioNTech
-
2021-01-25
Registered in v-safe
-
2021-01-25
Survey response — day 7, dose 1MedDRA: Injection site nodule — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: I have a raised, red and hot bump at the injection site that is about 3 inches across. Is this something I should be concerned about?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
-
2021-02-06
Dose 2 — Pfizer-BioNTech
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-13
- 2021-02-28
- 2021-03-06
- 2021-03-14
- 2021-03-21
-
2021-05-09
Survey response — 3 months, dose 2MedDRA: Injection site pain, Injection site swelling — Feeling: GoodFree text: So strange but I have had recurring tenderness and swelling in the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-07
-
2021-09-27
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-09-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Back pain, Insomnia, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains · Be unable to do your normal daily activitiesFree text: I have full arm and wrist pain in the injection arm. I also gave back pain on that side. Difficult to sleep.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: A lot of very bad wrist pain in injection arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint painsAdult check-in
- 2021-10-04
-
2021-10-11
Survey response — day 14, dose 3MedDRA: Constipation, Flatulence, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Terrible gas pains and constipation. I don't normally have this problem. Could not sleep, In bathroom all night.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-26
- 2021-11-01
- 2021-11-09
- 2021-12-29
- 2022-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | Flu |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): I have a raised, red and hot bump at the injection site that is about 3 inches across. Is this something I should be concerned about?
Release 8 — 3 months, dose 2
Symptoms: So strange but I have had recurring tenderness and swelling in the injection site.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I have full arm and wrist pain in the injection arm. I also gave back pain on that side. Difficult to sleep.
Systemic reaction (other): A lot of very bad wrist pain in injection arm.
Release 10 — day 14, dose 3
Symptoms: Terrible gas pains and constipation. I don't normally have this problem. Could not sleep, In bathroom all night.
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 | Constipation | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release