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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

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort — Feeling: Good · Abdominal pain
    Free 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
  5. 2021-01-22
    Dose 2 — Pfizer-BioNTech
  6. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-12-21
    Dose 3 — Pfizer-BioNTech
  9. 2021-12-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cardiac discomfort, Lymphadenopathy — Feeling: Good · Site: Pain
    Free 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 pain
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cardiac disorder, Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body aches
    Free 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 describe
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-04
    Survey response — day 14, dose 3
    MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Got Covid, tested positive with home rapid test
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Pfizer-BioNTech
22021-01-22Pfizer-BioNTech
32021-12-21Pfizer-BioNTech No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

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

2021-12-23

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

2021-12-24

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

2022-01-04

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

FieldPreferred term2021-092023-042024-11
SDSARS-CoV-2 test positive · · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROCardiac discomfort · · ✓
SROCardiac disorder · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release