54K-84207-00265
5 vaccinations
16 coded responses
65 check-ins
16 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 124 / NY
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Pfizer-BioNTech
-
2021-01-30
Registered in v-safe
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Energy increased, Immediate post-injection reaction — Feeling: Good · Site: PainFree text: Immeditately after receiving the shot I felt very energized (more than normal) for several hours. But that was just the first few hours after the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-13
-
2021-02-19
Dose 2 — Pfizer-BioNTech
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to workFree text: Slightly blood shot eyes (very slightly). Ver mild sense that maybe Im getting a headache but no real headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness · Be unable to workFree text: Fever was 100.7 last night. Right now 97.4.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · Site: Pain, RednessFree text: Painful lymph nodes under arm that was jabbed. Started yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Still have slightly swollen and tender lymph nodes under arm that received shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Lymph nodes under injection arm still tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Lymph nodes under arm that got shot are still tender, but less so todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — day 7, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Lymph nodes in jabbed arm no longer tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
-
2021-10-06
Dose 3 — Pfizer-BioNTech
-
2021-10-06
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Just had Jan #3 15 min ago!MedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Good · Site: PainFree text: Slightly swollen lymph nodes under injection arm. Not as swollen as after second shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Lymph nodes under injection arm slightly swollen and mildly painfulMedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Lymph nodes in injection arm still painful.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Lymph nodes still slightly swollen under injection armMedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: GoodFree text: Lymph nodes uner injection arm still tender.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Survey response — day 7, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph nodes under injection arm still slightly swollen and mildly painfulMedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2022-01-05
-
2022-04-05
Dose 4 — Moderna
-
2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Reaction to previous exposure to any vaccine — Feeling: Good · Site: PainFree text: Have NOT had swollen arm lymph nodes as I had with my 3 previous Pfizer shots.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-12
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
-
2022-09-26
Dose 5 — Moderna
- 2022-09-26
-
2022-09-27
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Immeditately after receiving the shot I felt very energized (more than normal) for several hours. But that was just the first few hours after the shot.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slightly blood shot eyes (very slightly). Ver mild sense that maybe Im getting a headache but no real headache.
Systemic reaction (other): Fever was 100.7 last night. Right now 97.4.
Systemic reaction (other): Painful lymph nodes under arm that was jabbed. Started yesterday.
Systemic reaction (other): Still have slightly swollen and tender lymph nodes under arm that received shot.
Systemic reaction (other): Lymph nodes under injection arm still tender
Systemic reaction (other): Lymph nodes under arm that got shot are still tender, but less so today
Release 4 — day 7, dose 2
Systemic reaction (other): Lymph nodes in jabbed arm no longer tender
Release 10 — day 0, dose 3
Systemic reaction (other): Just had Jan #3 15 min ago!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slightly swollen lymph nodes under injection arm. Not as swollen as after second shot.
Systemic reaction (other): Lymph nodes under injection arm slightly swollen and mildly painful
Systemic reaction (other): Lymph nodes in injection arm still painful.
Systemic reaction (other): Lymph nodes still slightly swollen under injection arm
Systemic reaction (other): Lymph nodes uner injection arm still tender.
Release 10 — day 7, dose 3
Systemic reaction (other): Lymph nodes under injection arm still slightly swollen and mildly painful
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Have NOT had swollen arm lymph nodes as I had with my 3 previous Pfizer shots.
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 |
|---|---|---|---|---|
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release