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4NK-13010-98114

3 vaccinations 7 coded responses 35 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
651 / MO
Registered
2021-05-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-13
    Registered in v-safe
  2. 2021-05-13
    Dose 1 — Pfizer-BioNTech
  3. 2021-05-13
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  5. 2021-05-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-05-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-03
    Dose 2 — Pfizer-BioNTech
  13. 2021-06-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-06-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-06-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-06
    Dose 3 — Pfizer-BioNTech
  27. 2022-01-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Swollen lymph node in the left under arm area (the arm I received the vaccine)
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-01-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Very Swollen Lymph Node in underarm area of the arm I received the vaccine
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-01-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache
    Free text: Swollen Lymph Node Under Left Arm (Arm of Injection)
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-01-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Small swollen lymph node in the left underarm area ( arm of vaccination)
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-13
    Survey response — day 7, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Small Lymph Node In Underarm Area on Injection Arm
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-01-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-02-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-02-10
    Survey response — day 35, dose 3
    MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good
    Free text: Sniffles and sore throat
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-02-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-04-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-07-09
    Survey response — 6 months, dose 3
    MedDRA: Defect conduction intraventricular, Electrocardiogram abnormal — Feeling: Good
    Free text: ECG showed Nonspecific Intraventricular Conduction Delay
    MedDRA releases: 2024-11 · check-in free text available
  39. 2023-01-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-13Pfizer-BioNTech
22021-06-03Pfizer-BioNTech
32022-01-06Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 3

2022-01-09

Systemic reaction (other): Swollen lymph node in the left under arm area (the arm I received the vaccine)

2022-01-10

Systemic reaction (other): Very Swollen Lymph Node in underarm area of the arm I received the vaccine

2022-01-11

Systemic reaction (other): Swollen Lymph Node Under Left Arm (Arm of Injection)

2022-01-12

Systemic reaction (other): Small swollen lymph node in the left underarm area ( arm of vaccination)

Release 10 — day 7, dose 3

2022-01-13

Systemic reaction (other): Small Lymph Node In Underarm Area on Injection Arm

Release 11 — day 35, dose 3

2022-02-10

Symptoms: Sniffles and sore throat

Release 12 — 6 months, dose 3

2022-07-09

Symptoms: ECG showed Nonspecific Intraventricular Conduction Delay

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
SDDefect conduction intraventricular · · ✓
SDElectrocardiogram abnormal · · ✓
SDOropharyngeal pain · · ✓
SDRhinorrhoea · · ✓
SROLymphadenopathy · · ✓

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