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4S3-13513-81299

1 vaccination 6 coded responses 12 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
301 / GA
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  5. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Lymph node pain — Feeling: Good
    Free text: Sore Right breast/lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes under armpits
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  10. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Gallbladder disorder — Feeling: Poor · Be unable to work
    Free text: Gallbladder attack
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Survey response — day 21, dose 1
    MedDRA: Abdominal pain, Herpes virus infection, Herpes zoster — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I experienced an outbreak of both shingles and herpes last Monday. I also had enteric shingles with severe abdominal pain at night for 7 nights. I have been advised to wait until I recover before taking the 2nd dose of vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-10
    Survey response — day 28, dose 1
    MedDRA: Abdominal pain, Herpes simplex, Herpes zoster, Pre-existing condition improved — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I am continuing to suffer from shingles and extreme abdominal pain at night from enteric shingles. The herpes simplex outbreak has gone away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-19
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-08-11
    Survey response — 6 months, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I have experienced a release in my autoimmune condition. I had been in remission for 10 years prior to receiving the vaccine.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-08-11
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-08-18

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Sore Right breast/lymph nodes

2021-02-15

Systemic reaction (other): Swollen lymph nodes under armpits

Release 4 — day 14, dose 1

2021-02-24

Symptoms: Gallbladder attack

Release 5 — day 21, dose 1

2021-03-03

Symptoms: I experienced an outbreak of both shingles and herpes last Monday. I also had enteric shingles with severe abdominal pain at night for 7 nights. I have been advised to wait until I recover before taking the 2nd dose of vaccine.

Release 5 — day 28, dose 1

2021-03-10

Symptoms: I am continuing to suffer from shingles and extreme abdominal pain at night from enteric shingles. The herpes simplex outbreak has gone away.

Release 9 — 6 months, dose 1

2021-08-11

Symptoms: I have experienced a release in my autoimmune condition. I had been in remission for 10 years prior to receiving 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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDCondition aggravated ✓ · ✓
SDGallbladder disorder ✓ ✓ ✓
SDHerpes simplex ✓ ✓ ✓
SDHerpes virus infection ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDPre-existing condition improved ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SROBreast pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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