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4KS-16566-61056

3 vaccinations 7 coded responses 37 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
956 / CA
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-21
    Dose 2 — Pfizer-BioNTech
  11. 2021-04-21
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-20
    Dose 3 — Other-Unknown
    Co-administered: Flu
  26. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-10-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Free text: Also on my period so symptoms may be attributable to that or intensified
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Chills, Headache
    Free text: Swollen and painful armpit on same side as injection site
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy, Respiratory tract congestion — Feeling: Fair · Site: Pain
    Free text: Congestion and swollen glands on same side of body as injection. Most pronounced in armpit.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Swollen glands on same side of body as injection, most pronounced in armoit
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  32. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy, Pruritus — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness
    Free text: Swelling, pain, itching in glands under armpit-getting better
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-27
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  34. 2021-11-03
    Survey response — day 14, dose 3
    MedDRA: Axillary pain — Feeling: Good
    Free text: Pain in arm pit returned for about 36 hours. Very mild and better now.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-10
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-17
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-26
    Survey response — day 35, dose 3
    MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Potential food poisoning. This is the third similar bout since beginning my vaccination series.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-19
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-20
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-10-20
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Pfizer-BioNTech
22021-04-21Pfizer-BioNTech
32021-10-20Other-Unknown Flu

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-21

Systemic reaction (other): Also on my period so symptoms may be attributable to that or intensified

2021-10-22

Systemic reaction (other): Swollen and painful armpit on same side as injection site

2021-10-23

Systemic reaction (other): Congestion and swollen glands on same side of body as injection. Most pronounced in armpit.

2021-10-24

Systemic reaction (other): Swollen glands on same side of body as injection, most pronounced in armoit

2021-10-26

Systemic reaction (other): Swelling, pain, itching in glands under armpit-getting better

Release 10 — day 14, dose 3

2021-11-03

Symptoms: Pain in arm pit returned for about 36 hours. Very mild and better now.

Release 10 — day 35, dose 3

2021-11-26

Symptoms: Potential food poisoning. This is the third similar bout since beginning my vaccination series.

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
SDAxillary pain · · ✓
SDUnevaluable event · · ✓
SROAxillary pain · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓
SROPruritus · · ✓
SRORespiratory tract congestion · · ✓
SROUnevaluable event · · ✓

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