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5RC-10168-79013

2 vaccinations 5 coded responses 8 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
959 / CA
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Painful swollen lymph node in arm pit opposite injection arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary mass, Chest pain, Erythema, Pain, Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Large red lump I opposite arm pit from injection site. Pain radiates down arm and through chest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary mass, Axillary pain, Chest pain, Groin pain, Pain, Pain in extremity — Feeling: Poor · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Painful red lump under armpit opposite injection arm. Pain radiating down arm and into chest. Pain in same side left groin.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Axillary mass, Chest pain, Pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Still have a large red lump in armpit opposite bog injection arm. Pain radiates out into shoulder and chest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Axillary mass, Axillary pain, Chest pain, Erythema, Pain, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Still have painful red lump under arm opposite injection site. Pain radiates through arm, chest, and shoulder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-04
    Dose 2 — Pfizer-BioNTech
  9. 2021-03-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  10. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Pfizer-BioNTech
22021-03-04Pfizer-BioNTech

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Painful swollen lymph node in arm pit opposite injection arm.

2021-02-13

Systemic reaction (other): Large red lump I opposite arm pit from injection site. Pain radiates down arm and through chest.

2021-02-14

Systemic reaction (other): Painful red lump under armpit opposite injection arm. Pain radiating down arm and into chest. Pain in same side left groin.

2021-02-16

Systemic reaction (other): Still have a large red lump in armpit opposite bog injection arm. Pain radiates out into shoulder and chest.

2021-02-17

Systemic reaction (other): Still have painful red lump under arm opposite injection site. Pain radiates through arm, chest, and shoulder.

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
SROArthralgia ✓ ✓ ✓
SROAxillary mass ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROGroin pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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