4MA-14412-71164
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 498 / MI
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-28
- 2020-12-29
- 2020-12-30
-
2021-01-06
Survey response — day 14, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Sore shoulder( ache) near injection site for a few daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
-
2021-01-15
Dose 2 — Pfizer-BioNTech
- 2021-01-16
- 2021-01-17
- 2021-01-20
- 2021-01-21
- 2021-01-23
- 2021-02-01
- 2021-02-05
-
2021-02-12
Survey response — day 28, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in the neck. This occurred in several days. One day post the second vaccination and then >10 days later and lasted for several days. Eating seemed to aggravate the lymph nodes and make them swell immediately. Slight painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-03-01
-
2021-04-16
Survey response — 3 months, dose 2MedDRA: Dry eye, Tension headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constant chronic tension headache x 1 week. However i dont believe it to be from vaccine. It appears that my dr states it may be from dry eye syndrome and is going to treat that. We'll have to see if it goes away with treating dry eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-18
-
2021-10-14
Dose 3 — Pfizer-BioNTech
- 2022-01-17
-
2022-02-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-14
-
2022-05-11
Dose 4 — Pfizer-BioNTech
- 2022-06-02
- 2022-06-08
- 2022-06-15
- 2022-06-23
- 2022-08-10
-
2022-11-09
Survey response — 6 months, dose 4MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: GoodFree text: Have 2 red itchy bumps x 2 weeks. 1 on leg and one on opposite shoulder. Not sure if vaccine related but showed up soon afterMedDRA releases: 2024-11 · check-in free text available
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech | |
| 3 | 2021-10-14 | Pfizer-BioNTech | No |
| 4 | 2022-05-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — day 14, dose 1
Symptoms: Sore shoulder( ache) near injection site for a few days
Release 4 — day 28, dose 2
Symptoms: Swollen lymph nodes in the neck. This occurred in several days. One day post the second vaccination and then >10 days later and lasted for several days. Eating seemed to aggravate the lymph nodes and make them swell immediately. Slight pain
Release 7 — 3 months, dose 2
Symptoms: Constant chronic tension headache x 1 week. However i dont believe it to be from vaccine. It appears that my dr states it may be from dry eye syndrome and is going to treat that. We'll have to see if it goes away with treating dry eyes.
Release 12 — 6 months, dose 4
Symptoms: Have 2 red itchy bumps x 2 weeks. 1 on leg and one on opposite shoulder. Not sure if vaccine related but showed up soon after
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dry eye | ✓ | ✓ | ✓ |
| SD | Injection site pain | ○ | ○ | ○ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Tension headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release