5DW-20758-94729
4 vaccinations
9 coded responses
45 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 063 / CT
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Registered dependents
5PD-25761-26176
Child or adolescent in my care · Female · 2021-06-29
KNG-10396-44182
Child or adolescent in my care · Female · 2021-06-29
Timeline
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 1 — Pfizer-BioNTech
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
-
2021-05-21
Dose 2 — Pfizer-BioNTech
- 2021-05-21
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Back pain, Neck pain, Pain — Feeling: Fair · Joint pains, Muscle or body achesFree text: Pain under the arm the shot was administered. The pain radiates up and to the back. Also pain on the left side of my neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Fatigue or tirednessFree text: Mild pain in the underarm of the arm I received the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Fatigue or tirednessFree text: Mild discomfort under arm shot was givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-26
- 2021-07-02
- 2021-08-20
- 2021-11-22
-
2021-12-15
Dose 3 — Pfizer-BioNTech
-
2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Back pain, Pain in extremity — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Back and leg pain similar to sciaticaMedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Back pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pain under the arm that I received the shot, later back and leg pain similar to sciaticaMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Pain under the arm the shot was receivedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Pain under the arm the shot was receivedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: GoodFree text: Minor pain in touch under the arm the shot was received inMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-03-16
- 2022-06-17
-
2022-10-08
Dose 4 — Pfizer-BioNTech
-
2022-10-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Lymph node swelling and pain in the underarm of the arm the shot was receivedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-24
- 2022-10-29
- 2022-11-07
- 2022-11-12
- 2022-11-19
- 2023-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Pfizer-BioNTech | |
| 2 | 2021-05-21 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Pfizer-BioNTech | No |
| 4 | 2022-10-08 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pain under the arm the shot was administered. The pain radiates up and to the back. Also pain on the left side of my neck.
Systemic reaction (other): Mild pain in the underarm of the arm I received the vaccine.
Systemic reaction (other): Mild discomfort under arm shot was given
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Back and leg pain similar to sciatica
Systemic reaction (other): Pain under the arm that I received the shot, later back and leg pain similar to sciatica
Systemic reaction (other): Pain under the arm the shot was received
Systemic reaction (other): Pain under the arm the shot was received
Systemic reaction (other): Minor pain in touch under the arm the shot was received in
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Lymph node swelling and pain in the underarm of the arm the shot was received
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 | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release