4NL-12678-18405
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-01
Survey response — day 0, dose 1MedDRA: Feeling hot, Paraesthesia — Feeling: Good · NauseaFree text: Maybe tingling or warmthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-06
- 2021-03-17
-
2021-03-22
Dose 2 — Pfizer-BioNTech
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Left Arm Lymph Node swelled to golfball size last night. Took Ibuprophen and it went down some.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-31
-
2021-04-19
Survey response — day 28, dose 2MedDRA: Abdominal discomfort — Feeling: GoodFree text: Intestinal upset. It may be unrelated. My little boys were sick with similar symptoms, however my gut has not recovered over the last week and a half like I expected it to.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2022-03-22
Survey response — 12 months, dose 2MedDRA: COVID-19, Prostate infection, Tooth abscess — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I've had Covid. Prostate infection. Tooth abscess. Not sure if they are all related but it wouldn't surprise me.MedDRA releases: 2024-11 · check-in free text available
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2022-03-22
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Maybe tingling or warmth
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Left Arm Lymph Node swelled to golfball size last night. Took Ibuprophen and it went down some.
Release 7 — day 28, dose 2
Symptoms: Intestinal upset. It may be unrelated. My little boys were sick with similar symptoms, however my gut has not recovered over the last week and a half like I expected it to.
Release 11 — 12 months, dose 2
Symptoms: I've had Covid. Prostate infection. Tooth abscess. Not sure if they are all related but it wouldn't surprise me.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Prostate infection | · | · | ✓ |
| SD | Tooth abscess | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release