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5QK-30924-76937

5 vaccinations 13 coded responses 39 check-ins 12 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
926 / CA
Registered
2021-04-29
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-04-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-26
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-29
    Registered in v-safe
  4. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy, Oedema peripheral — Feeling: Good · Muscle or body aches
    Free text: Swelling under my left armpit (injection site was left arm). Slight pain in the armpit at the swelling site. Presume swollen lymph node.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Discomfort, Lymphadenopathy, Oedema peripheral, Pain — Feeling: Good · Muscle or body aches
    Free text: Sizeable swelling under my left armpit. Presumably a swollen lymph node. Notceable all day long with a dull pain and pressure feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Muscle or body aches
    Free text: Swelling under left armpit, presumably a lymph node. Dull pain with a pulling feeling in that spot when my arm us down in normal position.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary mass, Discomfort, Lymph node pain, Lymphadenopathy, Pain — Feeling: Good · Site: Redness · Muscle or body aches
    Free text: New painful lump on top left collarbone. Presume it is swollen lymph node. Dull pain when not touched, uncomfortably painful if touched/pressed. Still have swollen lump in left armpit with dull pressure-type feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-03
    Survey response — day 7, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness
    Free text: Swollen area under left armpit and swollen lump on top left clavicle (latter was noticeably painful to the touch prior two days but less so today). Presumably lymph nodes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-27
    Survey response — 6 months, dose 2
    MedDRA: Cough, Nasopharyngitis, Respiratory disorder, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a respiratory illness (cold) with severe coughing and a sinus infection in September. I got PCR tested negative for Covid.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-17
    Dose 3 — Moderna
  17. 2021-11-17
    Survey response — day 0, dose 3
    MedDRA: Discomfort, Limb discomfort — Feeling: Good · Site: Pain
    Free text: Weird sensation in my left arm and hand (injection side). Like a very slight numbness or tingling.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, 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
  19. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-11-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Eye pain, Pain, Photophobia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Very concerning pain in both my eyes when moving, also when transitioning from lighter to darker or vice versa. I've had to pull blinds and turn down my device screen brightness. Very concerning as I've never had any eye issues ever and don't wear
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chromatopsia, Eye pain — Feeling: Good
    Free text: I had disconcerting eye pain all thebprior day and night. In the early morning hours (2AM), when turned off the lights I did not see all black as usual. Instead it was red tinged, like there was a red mist mixed in with the black
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Eye pain, Photophobia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continued eye pain with movement and changes in light levels.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-12-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-08
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-15
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-29
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-02-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-05-20
    Survey response — 6 months, dose 3
    MedDRA: Cough, Fatigue, Nasal congestion, Nasal discomfort, Nasopharyngitis, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cold symptoms. Burning sinuses and runny nose progressed to cough and rlnasal congestion. Fatigue
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-06-07
    Dose 4 — Moderna
  33. 2022-10-03
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  34. 2022-10-05
    Survey response — days 1–6 daily, dose 5
    MedDRA: Back pain, Chills, Eye pain, Headache, Neck pain, Photophobia, Pyrexia — Feeling: Good · Site: Pain · Headache · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: The day after the vax, I experienced back and neck aches, chills, low fever, headaches and eye pain, sensitivity to light changes resulting in eye pain. Today I have minor eye pain.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-10-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2022-10-07
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  37. 2022-10-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  38. 2022-10-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache
    Adult check-in
  39. 2022-10-10
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  40. 2022-10-17
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  41. 2022-10-24
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-10-31
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-11-07
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-11-14
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  45. 2023-01-02
    Survey response — 3 months, dose 5
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Pfizer-BioNTech
22021-04-26Pfizer-BioNTech
32021-11-17Moderna No
42022-06-07Moderna No
52022-10-03Pfizer-BioNTech Flu

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Swelling under my left armpit (injection site was left arm). Slight pain in the armpit at the swelling site. Presume swollen lymph node.

2021-04-30

Systemic reaction (other): Sizeable swelling under my left armpit. Presumably a swollen lymph node. Notceable all day long with a dull pain and pressure feeling.

2021-05-01

Systemic reaction (other): Swelling under left armpit, presumably a lymph node. Dull pain with a pulling feeling in that spot when my arm us down in normal position.

2021-05-02

Systemic reaction (other): New painful lump on top left collarbone. Presume it is swollen lymph node. Dull pain when not touched, uncomfortably painful if touched/pressed. Still have swollen lump in left armpit with dull pressure-type feeling.

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Swollen area under left armpit and swollen lump on top left clavicle (latter was noticeably painful to the touch prior two days but less so today). Presumably lymph nodes.

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: I had a respiratory illness (cold) with severe coughing and a sinus infection in September. I got PCR tested negative for Covid.

Release 10 — day 0, dose 3

2021-11-17

Systemic reaction (other): Weird sensation in my left arm and hand (injection side). Like a very slight numbness or tingling.

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Very concerning pain in both my eyes when moving, also when transitioning from lighter to darker or vice versa. I've had to pull blinds and turn down my device screen brightness. Very concerning as I've never had any eye issues ever and don't wear cut off by CDC

2021-11-21

Systemic reaction (other): I had disconcerting eye pain all thebprior day and night. In the early morning hours (2AM), when turned off the lights I did not see all black as usual. Instead it was red tinged, like there was a red mist mixed in with the black

2021-11-22

Systemic reaction (other): Continued eye pain with movement and changes in light levels.

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Cold symptoms. Burning sinuses and runny nose progressed to cough and rlnasal congestion. Fatigue

Release 12 — days 1–6 daily, dose 5

2022-10-05

Systemic reaction (other): The day after the vax, I experienced back and neck aches, chills, low fever, headaches and eye pain, sensitivity to light changes resulting in eye pain. Today I have minor eye pain.

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 · · ✓
SDFatigue · · ✓
SDNasal congestion · · ✓
SDNasal discomfort · · ✓
SDNasopharyngitis · · ✓
SDRespiratory disorder · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinusitis · · ✓
SROAxillary mass ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBack pain · · ✓
SROChills · · ✓
SROChromatopsia · · ✓
SRODiscomfort ✓ ✓ ✓
SROEye pain · · ✓
SROHeadache · · ✓
SROLimb discomfort · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONeck pain · · ✓
SROOedema peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPhotophobia · · ✓
SROPyrexia · · ✓

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