4ZM-23623-51198
5 vaccinations
6 coded responses
62 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
JN7-29823-68490
Child or adolescent in my care · Male · 2022-06-21
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Pfizer-BioNTech
-
2021-01-16
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Headache is very mild, may be unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Possibly some mild axillary lymph node tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Pfizer-BioNTech
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Transient lymph node painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Survey response — day 28, dose 2MedDRA: Office visit, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Went to urgent care for tachycardia lasting 2 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
- 2021-03-20
- 2021-05-08
- 2021-08-10
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2021-10-04
-
2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: I have one painful, swollen lymph node on the side I got my injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2022-01-03
- 2022-04-04
-
2022-06-10
Dose 4 — Pfizer-BioNTech
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2022-06-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-13
- 2022-06-15
- 2022-06-16
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-07-24
- 2022-09-09
-
2022-10-28
Dose 5 — Moderna
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2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I felt itchy all over for a few hours, about 18 hours after shot. I'm not sure it's related.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2023-01-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-06-10 | Pfizer-BioNTech | No |
| 5 | 2022-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-06 | Unsuccessful |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Headache is very mild, may be unrelated
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Possibly some mild axillary lymph node tenderness
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Transient lymph node pain
Release 5 — day 28, dose 2
Symptoms: Went to urgent care for tachycardia lasting 2 hours
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have one painful, swollen lymph node on the side I got my injection
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I felt itchy all over for a few hours, about 18 hours after shot. I'm not sure it's related.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release