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5GS-24032-95571

4 vaccinations 6 coded responses 11 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
018 / MA
Registered
2022-12-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
PV8-26317-01292 Child or adolescent in my care · Female · 2022-12-04
3AK-33754-85407 Child or adolescent in my care · Male · 2022-12-04
ZJC-14624-62120 Child or adolescent in my care · Female · 2022-12-04

Timeline

  1. 2021-02-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-27
    Dose 2 — Pfizer-BioNTech
  3. 2021-11-28
    Dose 3 — Pfizer-BioNTech
  4. 2022-12-04
    Registered in v-safe
  5. 2022-12-04
    Dose 4 — Pfizer-BioNTech
  6. 2022-12-04
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  7. 2022-12-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  8. 2022-12-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: Right Arm pit swelling(moderate) and slightly painful, left arm pit swelling is mild and not painful
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-12-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Headache, Oedema peripheral, Self-medication — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Right arm pit swelling(moderate amount). Left arm pit slight swelling. Not painful. 200 mg Tylenol taken for moderate headache to get through work
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-12-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Herpes virus infection, Oedema peripheral, Oral herpes — Feeling: Fair · Headache
    Free text: Right arm pit swelling is mild- moderate. Have multiple herpes lesions on upper and lower lip and chin
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-12-09
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oedema peripheral, Oral herpes — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Right arm pit moderate swelling left side mild swelling. multiple cold sores on lower, upper lips and chin
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-12-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oedema peripheral, Oral herpes — Feeling: Good
    Free text: Right arm pit moderate swelling, left arm pit slight swelling multiple cold sores on upper , lower lips and chin
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-12-12
    Survey response — day 7, dose 4
    MedDRA: Oedema peripheral, Oral herpes — Feeling: Good
    Free text: Right arm pit swelling moderate, healing cold sores
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-12-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-12-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  16. 2023-01-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Pfizer-BioNTech No
22021-02-27Pfizer-BioNTech No
32021-11-28Pfizer-BioNTech No
42022-12-04Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 4

2022-12-06

Systemic reaction (other): Right Arm pit swelling(moderate) and slightly painful, left arm pit swelling is mild and not painful

2022-12-07

Systemic reaction (other): Right arm pit swelling(moderate amount). Left arm pit slight swelling. Not painful. 200 mg Tylenol taken for moderate headache to get through work

2022-12-08

Systemic reaction (other): Right arm pit swelling is mild- moderate. Have multiple herpes lesions on upper and lower lip and chin

2022-12-09

Systemic reaction (other): Right arm pit moderate swelling left side mild swelling. multiple cold sores on lower, upper lips and chin

2022-12-10

Systemic reaction (other): Right arm pit moderate swelling, left arm pit slight swelling multiple cold sores on upper , lower lips and chin

Release 12 — day 7, dose 4

2022-12-12

Systemic reaction (other): Right arm pit swelling moderate, healing cold sores

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 · · ✓
SROHeadache · · ✓
SROHerpes virus infection · · ✓
SROOedema peripheral · · ✓
SROOral herpes · · ✓
SROSelf-medication · · ✓

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

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