4QX-29804-38095
3 vaccinations
9 coded responses
35 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 925 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Pfizer-BioNTech
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Headache very mild, no pill neededMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-04
Dose 2 — Pfizer-BioNTech
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Left shoulder pain across the collarbone to the right shoulder as well as left side of my neck swelling of lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Lft side collarbone lymph node slight swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Left side by the neck lymph node a little swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 2MedDRA: Swelling — Feeling: GoodFree text: Swelling going down on the left side of collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2022-01-04
Dose 3 — Pfizer-BioNTech
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2022-01-04
Survey response — day 0, dose 3MedDRA: Anger, Frustration tolerance decreased, Nervousness — Feeling: FairFree text: I felt a little bit of nervous anger and frustration out of nowhereMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Lymph nodes under the left arm a little swollenMedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Back pain, Self-medication — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Pain up under the left arm where the shot was and oddly lower back pain but Tylenol before waking up in the morning controls itMedDRA releases: 2024-11 · check-in free text available
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-18
- 2022-01-28
- 2022-02-01
-
2022-02-08
Survey response — day 35, dose 3MedDRA: Joint noise — Feeling: GoodFree text: My knee joints are cracking a lot moreMedDRA releases: 2024-11 · check-in free text available
- 2022-02-15
- 2022-04-05
- 2022-07-05
- 2023-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2022-01-04 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Headache very mild, no pill needed
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Left shoulder pain across the collarbone to the right shoulder as well as left side of my neck swelling of lymph nodes
Systemic reaction (other): Lft side collarbone lymph node slight swelling
Systemic reaction (other): Left side by the neck lymph node a little swollen
Release 5 — day 7, dose 2
Systemic reaction (other): Swelling going down on the left side of collarbone
Release 10 — day 0, dose 3
Systemic reaction (other): I felt a little bit of nervous anger and frustration out of nowhere
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph nodes under the left arm a little swollen
Systemic reaction (other): Pain up under the left arm where the shot was and oddly lower back pain but Tylenol before waking up in the morning controls it
Release 11 — day 35, dose 3
Symptoms: My knee joints are cracking a lot more
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 | Joint noise | · | · | ✓ |
| SRO | Anger | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Frustration tolerance decreased | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nervousness | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release