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56C-62674-53456

3 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
481 / MI
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
EMH-13814-26612 Child or adolescent in my care · Male · 2021-11-03
LZN-31160-86199 Child or adolescent in my care · Female · 2021-11-03

Timeline

  1. 2021-03-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-24
    Registered in v-safe
  3. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-30
    Dose 2 — Pfizer-BioNTech
  5. 2021-03-30
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Extreme happiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Headache
    Free text: My lymph nodes are swollen and hurting, particularly in my armpits. I would rate this moderate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Still some swollen lymph nodes in my armpits but they dont hurt as bad as yesterday and the day before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: The swollen lymph nodes in my armpits are only hurting minimally now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-25
    Dose 3 — Moderna
  21. 2021-11-03
    Survey response — day 7, dose 3
    MedDRA: Chills, Fatigue, Headache, Pain, Pain in extremity — Feeling: Good
    Free text: I tried to scare my booster shot last week and it wouldn't work. I had chills, headache, body ache, and sore arms the day after my booster. And the second day after I was just still tired but the rest was gone.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-10-28
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Pfizer-BioNTech
22021-03-30Pfizer-BioNTech
32021-10-25Moderna No

Free text

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): Extreme happiness

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): My lymph nodes are swollen and hurting, particularly in my armpits. I would rate this moderate.

2021-04-03

Systemic reaction (other): Still some swollen lymph nodes in my armpits but they dont hurt as bad as yesterday and the day before.

2021-04-04

Systemic reaction (other): The swollen lymph nodes in my armpits are only hurting minimally now.

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): I tried to scare my booster shot last week and it wouldn't work. I had chills, headache, body ache, and sore arms the day after my booster. And the second day after I was just still tired but the rest was gone.

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

FieldPreferred term2021-092023-042024-11
SROAxillary pain ✓ ✓ ✓
SROChills · · ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain · · ✓
SROPain in extremity · · ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release