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5AB-11525-63329

4 vaccinations 3 coded responses 18 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
444 / OH
Registered
2021-11-07
Relationship
Child or adolescent in my care
Guardian
W5G-26392-16633
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-07
    Registered in v-safe
  2. 2021-11-08
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-29
    Dose 2 — Pfizer-BioNTech
  4. 2022-09-19
    Dose 3 — Pfizer-BioNTech
  5. 2022-09-19
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2022-09-20
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen, painful lymph nodes under arm
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-09-21
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes in armpit
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-09-22
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  9. 2022-09-23
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain, Redness, Swelling · None
    Adult check-in
  10. 2022-09-24
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2022-09-25
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Swelling · None
    Adult check-in
  12. 2022-09-28
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-10-03
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-10-10
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2022-10-17
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-10-24
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2022-10-31
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  18. 2022-12-19
    Dose 4 — Pfizer-BioNTech
  19. 2022-12-19
  20. 2022-12-19
    Health check-in — day 0, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  21. 2022-12-20
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2022-12-22
    Survey response — days 1–6 daily, dose 4, dependent
    MedDRA: Axillary pain — Feeling: Good · Site: Pain
    Free text: Underarm soreness
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-12-28
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-08Pfizer-BioNTech No
22021-11-29Pfizer-BioNTech No
32022-09-19Pfizer-BioNTech No
42022-12-19Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 3, dependent

2022-09-20

Systemic reaction (other): Swollen, painful lymph nodes under arm

2022-09-21

Systemic reaction (other): Swollen lymph nodes in armpit

Release 12 — days 1–6 daily, dose 4, dependent

2022-12-22

Systemic reaction (other): Underarm soreness

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 · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓

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