4VM-12009-18903
3 vaccinations
8 coded responses
31 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 871 / NM
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-26
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Immediate post-injection reaction — Feeling: GoodFree text: Forgot to mention having an elevated heart rate after the vaccine was administered. Heart rate returned to normal with the 15 minute wait time and has not happened since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
-
2021-01-13
Dose 2 — Pfizer-BioNTech
- 2021-01-13
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen and painful lymph node above collar bone the same side as the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node above collar bone the same side as the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node above collar bone. Same as yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Same as yesterday, swollen lymph node above collar bone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node above collar bone and jawMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
- 2021-02-14
- 2021-02-17
- 2021-02-24
- 2021-04-14
- 2021-07-14
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2021-12-10
Dose 3 — Pfizer-BioNTech
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-12-14
- 2021-12-16
- 2021-12-26
- 2021-12-31
- 2022-01-09
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2022-01-16
Survey response — day 35, dose 3MedDRA: Dyspnoea, Fatigue, Oropharyngeal pain — Feeling: FairFree text: Fatigue, sore throat, mild difficulty breathingMedDRA releases: 2024-11 · check-in free text available
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2022-01-23
Survey response — day 42, dose 3MedDRA: Dyspnoea — Feeling: FairFree text: Transient difficulty breathingMedDRA releases: 2024-11 · check-in free text available
- 2022-03-13
- 2022-06-12
- 2022-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech | |
| 3 | 2021-12-10 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Forgot to mention having an elevated heart rate after the vaccine was administered. Heart rate returned to normal with the 15 minute wait time and has not happened since.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen and painful lymph node above collar bone the same side as the vaccine
Systemic reaction (other): Swollen lymph node above collar bone the same side as the vaccine
Systemic reaction (other): Swollen lymph node above collar bone. Same as yesterday.
Systemic reaction (other): Same as yesterday, swollen lymph node above collar bone.
Release 2 — day 7, dose 2
Systemic reaction (other): Swollen lymph node above collar bone and jaw
Release 10 — day 35, dose 3
Symptoms: Fatigue, sore throat, mild difficulty breathing
Release 11 — day 42, dose 3
Symptoms: Transient difficulty breathing
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 | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release