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5MX-28445-84217

3 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
853 / AZ
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-10
    Survey response — day 0, dose 2
    MedDRA: Feeling hot — Feeling: Good · Site: Pain · Headache
    Free text: Feel a little war, but no fever though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Headache could be from the change in the weather in the rain here in Arizona now today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event, Unevaluable event — Feeling: Good · Headache
    Free text: I just wondered if your pre-diabetic diabetic and get the shot couldnt elevate your blood sugar levels some during the first few days of when you have gotten your vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-19
    Dose 3 — Moderna
  19. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Headache, Interchange of vaccine products, Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I got my booster shot and they gave me a Moderma when you know that I had Pfizer before and two doctors and the pharmacist said it was OK to get the booster as a Moderma . So my right foot and leg swelled up and arm hurt bad had a bad headache
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-09-09
    Survey response — day 21, dose 3
    MedDRA: Medical counselling, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: Swelling is getting better with my right foot and leg since the third booster which the pharmacist and two doctors said was okay to be Moderna instead of the two Pfizers before that I had
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-09-17
    Survey response — day 28, dose 3
    MedDRA: Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: Still having swelling in my foot and leg from after the Moderns booster shot
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-09-23
    Survey response — day 35, dose 3
    MedDRA: Medical counselling, Office visit, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Not any worse its the same Im still having my right foot and leg swollen since I got that Modena booster .A couple of doctors and pharmacists said that it was OK since even though I had both Pfizer vaccines originally to get that booster
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-02
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  24. 2021-11-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-02-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-08-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Pfizer-BioNTech
22021-03-10Pfizer-BioNTech
32021-08-19Moderna No

Free text

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): Feel a little war, but no fever though

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Headache could be from the change in the weather in the rain here in Arizona now today

2021-03-14

Systemic reaction (other): I just wondered if your pre-diabetic diabetic and get the shot couldnt elevate your blood sugar levels some during the first few days of when you have gotten your vaccine

Release 9 — day 21, dose 3

2021-09-09

Symptoms: Swelling is getting better with my right foot and leg since the third booster which the pharmacist and two doctors said was okay to be Moderna instead of the two Pfizers before that I had

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: I got my booster shot and they gave me a Moderma when you know that I had Pfizer before and two doctors and the pharmacist said it was OK to get the booster as a Moderma . So my right foot and leg swelled up and arm hurt bad had a bad headache

Release 9 — day 28, dose 3

2021-09-17

Symptoms: Still having swelling in my foot and leg from after the Moderns booster shot

Release 9 — day 35, dose 3

2021-09-23

Symptoms: Not any worse its the same Im still having my right foot and leg swollen since I got that Modena booster .A couple of doctors and pharmacists said that it was OK since even though I had both Pfizer vaccines originally to get that booster

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
SDHeadache · · ✓
SDInterchange of vaccine products · · ✓
SDMedical counselling · · ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SDPeripheral swelling · · ✓
SROFeeling hot ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONo adverse event ○ ✓ ○
SROUnevaluable event ✓ · ✓

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