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
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Pfizer-BioNTech
- 2021-02-10
- 2021-02-11
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Breast pain, Lymph node pain — Feeling: GoodFree text: Sore Right breast/lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes under armpitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
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2021-02-24
Survey response — day 14, dose 1MedDRA: Gallbladder disorder — Feeling: Poor · Be unable to workFree text: Gallbladder attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 21, dose 1MedDRA: Abdominal pain, Herpes virus infection, Herpes zoster — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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
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2021-03-10
Survey response — day 28, dose 1MedDRA: Abdominal pain, Herpes simplex, Herpes zoster, Pre-existing condition improved — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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
- 2021-03-19
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2021-08-11
Survey response — 6 months, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
-
2021-08-11
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore Right breast/lymph nodes
Systemic reaction (other): Swollen lymph nodes under armpits
Release 4 — day 14, dose 1
Symptoms: Gallbladder attack
Release 5 — day 21, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Gallbladder disorder | ✓ | ✓ | ✓ |
| SD | Herpes simplex | ✓ | ✓ | ✓ |
| SD | Herpes virus infection | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Pre-existing condition improved | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release