4ST-21378-64467
5 vaccinations
4 coded responses
51 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 132 / NY
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Pfizer-BioNTech
-
2021-02-06
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
-
2021-02-27
Dose 2 — Pfizer-BioNTech
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Fatigue or tirednessFree text: Nothing much; a bit tired which may/may not be related to the vaccine. Arm just mildly sore when touched.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Medical counselling, Oedema peripheral, Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Migraine May not be related since I get them occasionally. Not today, but a few hours after receiving the booster, chills for about four hours. Currently (3 days later), some swelling in armpit in same side as the booster. · Healthcare visit (other): Phone consult for swelling in armpit. Was told that it has been reported after Covid vaccine, and to monitor for a week.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Some swelling on armpit (same side as vaccine) remains.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-11
- 2021-11-23
- 2021-12-28
- 2022-03-29
-
2022-04-01
Dose 4 — Pfizer-BioNTech
-
2022-09-21
Dose 5 — Pfizer-BioNTech
-
2022-09-21
Survey response — day 0, dose 5MedDRA: Pre-existing disease, Throat irritation — Feeling: GoodFree text: A slight scratchy throat, which may be due to allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-14
- 2022-10-19
- 2022-10-28
- 2022-11-02
- 2022-12-21
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Pfizer-BioNTech | |
| 2 | 2021-02-27 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-09-21 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Nothing much; a bit tired which may/may not be related to the vaccine. Arm just mildly sore when touched.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Migraine May not be related since I get them occasionally. Not today, but a few hours after receiving the booster, chills for about four hours. Currently (3 days later), some swelling in armpit in same side as the booster.
Healthcare visit (other): Phone consult for swelling in armpit. Was told that it has been reported after Covid vaccine, and to monitor for a week.
Systemic reaction (other): Some swelling on armpit (same side as vaccine) remains.
Release 12 — day 0, dose 5
Systemic reaction (other): A slight scratchy throat, which may be due to allergies
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Oedema peripheral | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release