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
-
2021-05-13
Registered in v-safe
-
2021-05-13
Dose 1 — Pfizer-BioNTech
- 2021-05-13
-
2021-05-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-27
-
2021-06-03
Dose 2 — Pfizer-BioNTech
- 2021-06-03
-
2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-05
- 2021-06-07
- 2021-06-08
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
- 2021-07-08
- 2021-07-15
- 2021-09-02
- 2021-12-03
-
2022-01-06
Dose 3 — Pfizer-BioNTech
-
2022-01-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree 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
-
2022-01-10
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Very Swollen Lymph Node in underarm area of the arm I received the vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · HeadacheFree text: Swollen Lymph Node Under Left Arm (Arm of Injection)MedDRA releases: 2024-11 · check-in free text available
-
2022-01-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Small swollen lymph node in the left underarm area ( arm of vaccination)MedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Small Lymph Node In Underarm Area on Injection ArmMedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
- 2022-01-27
- 2022-02-03
-
2022-02-10
Survey response — day 35, dose 3MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Sniffles and sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-02-17
- 2022-04-07
-
2022-07-09
Survey response — 6 months, dose 3MedDRA: Defect conduction intraventricular, Electrocardiogram abnormal — Feeling: GoodFree text: ECG showed Nonspecific Intraventricular Conduction DelayMedDRA releases: 2024-11 · check-in free text available
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Pfizer-BioNTech | |
| 2 | 2021-06-03 | Pfizer-BioNTech | |
| 3 | 2022-01-06 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node in the left under arm area (the arm I received the vaccine)
Systemic reaction (other): Very Swollen Lymph Node in underarm area of the arm I received the vaccine
Systemic reaction (other): Swollen Lymph Node Under Left Arm (Arm of Injection)
Systemic reaction (other): Small swollen lymph node in the left underarm area ( arm of vaccination)
Release 10 — day 7, dose 3
Systemic reaction (other): Small Lymph Node In Underarm Area on Injection Arm
Release 11 — day 35, dose 3
Symptoms: Sniffles and sore throat
Release 12 — 6 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Defect conduction intraventricular | · | · | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release