4R4-76003-59414
3 vaccinations
4 coded responses
7 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 950 / CA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Pfizer-BioNTech
- 2020-12-30
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Good · Abdominal painFree text: I had abdominal discomfort, but it was very mild and it did bother me... However since it has dissipated and has now since subsided I realized it was there. But again i don't know if it was related to the shot. Thought I would just say something in case it's a trend you guys notice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Dose 2 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
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2021-12-21
Dose 3 — Pfizer-BioNTech
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2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Cardiac discomfort, Lymphadenopathy — Feeling: Good · Site: PainFree text: lymph nodes under my left arm pit got puffy, also had an weird sensation from my heart area not 100% what the heart sensation was, I was just driving. not short of breath nor would i describe it as chest painMedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Cardiac disorder, Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body achesFree text: Lymph nodes under my left arm are not swollen anymore or i can't notice it, but it does feel tinder in area where the lymph nodes are. Still noticed that heart feels a little funny like an ache but i've never felt the feeling, unsure how to describeMedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Survey response — day 14, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Got Covid, tested positive with home rapid testMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-22 | Pfizer-BioNTech | |
| 3 | 2021-12-21 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I had abdominal discomfort, but it was very mild and it did bother me... However since it has dissipated and has now since subsided I realized it was there. But again i don't know if it was related to the shot. Thought I would just say something in case it's a trend you guys notice.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): lymph nodes under my left arm pit got puffy, also had an weird sensation from my heart area not 100% what the heart sensation was, I was just driving. not short of breath nor would i describe it as chest pain
Systemic reaction (other): Lymph nodes under my left arm are not swollen anymore or i can't notice it, but it does feel tinder in area where the lymph nodes are. Still noticed that heart feels a little funny like an ache but i've never felt the feeling, unsure how to describe cut off by CDC
Release 10 — day 14, dose 3
Symptoms: Got Covid, tested positive with home rapid test
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 | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Cardiac discomfort | · | · | ✓ |
| SRO | Cardiac disorder | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release