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5LX-35344-13267

4 vaccinations 23 coded responses 53 check-ins 23 free-text entries 1 call case
Sex
Male
Age at first dose
41-45
ZIP prefix
921 / CA
Registered
2021-04-12
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-12
    Registered in v-safe
  2. 2021-04-12
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-12
    Survey response — day 0, dose 1
    MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: Mild pain near rear of armpit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Lymphadenopathy, Musculoskeletal stiffness — Feeling: Good · Site: Pain
    Free text: Armpit lymph nodes not as swollen today, muscle near injection site little sore / stiffness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Musculoskeletal pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Arm muscle near injection site less sore today armpit back to normal. Right leg below buttocks little sore but might be from sitting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Arm feels better. Maybe still a little underarm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches
    Free text: Under arm lymph node slightly swollen still but less so
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-03
    Dose 2 — Pfizer-BioNTech
  12. 2021-05-03
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: Slight light headedness, mild headache 30 mins after but that subsided.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth, Feeling hot, Urine output decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Felt warm early morning woke up from deep sleep felt urge to urinate but not much. Fine later with urine production. Dry mouth after sleeping.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Fever dropped from 99.3 at 3AM to 98.6 by 8AM today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Myalgia — Feeling: Good · Muscle or body aches
    Free text: Deltoid and left pectoral muscle slightly sore still but less than yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good
    Free text: Canker sore inside lip since yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good
    Free text: Still waiting for canker sore to fade from lip
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lip pain — Feeling: Good
    Free text: Sore on lip getting better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-10
    Survey response — day 7, dose 2
    MedDRA: Cheilitis — Feeling: Good
    Free text: Sore on lip just about gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-17
    Survey response — day 14, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: Chest itched this morning but now better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-07
    Survey response — day 35, dose 2
    MedDRA: Throat irritation — Feeling: Good
    Free text: Scratchy back of throat 2 days ago but good now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-01
    Survey response — 6 months, dose 2
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: COVID late Aug / early September
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-01
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  28. 2021-11-02
  29. 2021-11-30
    Dose 3 — Moderna
  30. 2021-11-30
    Survey response — day 0, dose 3
    MedDRA: Breakthrough COVID-19 — Feeling: Good · Site: Pain, Itching
    Free text: I had a breakthrough infection of COVID 19 end of August this year.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Free text: Chills started around 11pm last night. Fever began around 3AM today.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Hyperhidrosis, Pyrexia — Feeling: Good · Site: Pain
    Free text: Sweated, fever gone at 4AM this morning.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough — Feeling: Fair
    Free text: Slight cough
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-09
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-14
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-21
    Survey response — day 21, dose 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair
    Free text: Small cough, slightly runny nose but it might be seasonal since it's chilly here. Just got tested today.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-28
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-31
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-09-26
    Dose 4 — Moderna
  46. 2022-09-26
    Survey response — day 0, dose 4
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Just arm muscle soreness near the injection site.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-09-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend school
    Adult check-in
  48. 2022-09-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Body temperature increased — Feeling: Good · Site: Pain
    Free text: 99.4 temperature this morning
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-10-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-10-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-10-03
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  54. 2022-10-10
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-10-17
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-10-24
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-10-31
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-11-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-12-26
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  60. 2023-03-27
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-12Pfizer-BioNTech
22021-05-03Pfizer-BioNTech
32021-11-30Moderna No
42022-09-26Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Mild pain near rear of armpit.

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Armpit lymph nodes not as swollen today, muscle near injection site little sore / stiffness.

2021-04-14

Systemic reaction (other): Arm muscle near injection site less sore today armpit back to normal. Right leg below buttocks little sore but might be from sitting.

2021-04-15

Systemic reaction (other): Arm feels better. Maybe still a little underarm.

2021-04-16

Systemic reaction (other): Under arm lymph node slightly swollen still but less so

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Slight light headedness, mild headache 30 mins after but that subsided.

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Felt warm early morning woke up from deep sleep felt urge to urinate but not much. Fine later with urine production. Dry mouth after sleeping.

2021-05-05

Systemic reaction (other): Fever dropped from 99.3 at 3AM to 98.6 by 8AM today

2021-05-06

Systemic reaction (other): Deltoid and left pectoral muscle slightly sore still but less than yesterday

2021-05-07

Systemic reaction (other): Canker sore inside lip since yesterday

2021-05-08

Systemic reaction (other): Still waiting for canker sore to fade from lip

2021-05-09

Systemic reaction (other): Sore on lip getting better.

Release 8 — day 7, dose 2

2021-05-10

Systemic reaction (other): Sore on lip just about gone

Release 8 — day 14, dose 2

2021-05-17

Symptoms: Chest itched this morning but now better.

Release 8 — day 35, dose 2

2021-06-07

Symptoms: Scratchy back of throat 2 days ago but good now.

Release 10 — 6 months, dose 2

2021-11-01

Symptoms: COVID late Aug / early September

Release 10 — day 0, dose 3

2021-11-30

Systemic reaction (other): I had a breakthrough infection of COVID 19 end of August this year.

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Chills started around 11pm last night. Fever began around 3AM today.

2021-12-02

Systemic reaction (other): Sweated, fever gone at 4AM this morning.

2021-12-03

Systemic reaction (other): Slight cough

Release 10 — day 21, dose 3

2021-12-21

Symptoms: Small cough, slightly runny nose but it might be seasonal since it's chilly here. Just got tested today.

Release 12 — day 0, dose 4

2022-09-26

Systemic reaction (other): Just arm muscle soreness near the injection site.

Release 12 — days 1–6 daily, dose 4

2022-09-28

Systemic reaction (other): 99.4 temperature this morning

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDPruritus ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDThroat irritation ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROAphthous ulcer ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBody temperature increased · · ✓
SROBreakthrough COVID-19 · · ✓
SROCheilitis ✓ ✓ ✓
SROChills · · ✓
SROCough · · ✓
SRODizziness ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHyperhidrosis · · ✓
SROInjection site pain ✓ ✓ ✓
SROLip pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUrine output decreased ✓ ✓ ✓

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

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