4R3-14184-24018
4 vaccinations
5 coded responses
30 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 076 / NJ
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Pfizer-BioNTech
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-19
-
2021-01-26
Dose 2 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Sleep disorder — Feeling: FairFree text: Yes, last evening, found swelling in left armpit, medial wall, ( on the inj. Arm). Was good 2 inches and prevented from a good sleep. At 9am, Took 2 Advil -200 mg. Each). Feeling better after lunch, right now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Self-medication, Tenderness — Feeling: Fair · Site: PainFree text: Yes, the lt. Armpit swelling is less 50% after taking Advil yest. And today. Will observe. Still tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Pain, Self-medication — Feeling: Good · Muscle or body achesFree text: The lt. Axilla sw. is less due to advil. Pain very little present though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Muscle or body achesFree text: The swelling in my lt. Armpit is now very minimal with no tenderness. And mild sw. only.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-18
- 2021-02-23
- 2021-03-02
- 2021-03-11
- 2021-04-27
- 2021-07-27
-
2021-12-12
Dose 3 — Pfizer-BioNTech
- 2022-01-26
-
2022-04-26
Dose 4 — Moderna
-
2022-05-03
Survey response — day 7, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: For the first 3-4 days, I Did get lymph nodes sw. and soreness in my left axilla ( the left arm where I got the vaccine)MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
- 2022-10-25
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech | |
| 3 | 2021-12-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-26 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Yes, last evening, found swelling in left armpit, medial wall, ( on the inj. Arm). Was good 2 inches and prevented from a good sleep. At 9am, Took 2 Advil -200 mg. Each). Feeling better after lunch, right now.
Systemic reaction (other): Yes, the lt. Armpit swelling is less 50% after taking Advil yest. And today. Will observe. Still tender.
Systemic reaction (other): The lt. Axilla sw. is less due to advil. Pain very little present though.
Systemic reaction (other): The swelling in my lt. Armpit is now very minimal with no tenderness. And mild sw. only.
Release 11 — day 7, dose 4
Systemic reaction (other): For the first 3-4 days, I Did get lymph nodes sw. and soreness in my left axilla ( the left arm where I got the vaccine)
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 |
|---|---|---|---|---|
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release