5V3-43612-10897
4 vaccinations
5 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Hispanic or Latino
Registered dependents
CDM-36974-80034
Child or adolescent in my care · Male · 2022-11-15
JC9-18419-55526
Child or adolescent in my care · Male · 2022-11-15
JJB-26720-61497
Adult relative or friend · Male · 2022-11-15
Timeline
-
2021-02-21
Dose 1 — Pfizer-BioNTech
-
2021-03-04
Registered in v-safe
- 2021-03-04
- 2021-03-07
-
2021-03-14
Dose 2 — Pfizer-BioNTech
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-16
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Muscle spasms, Muscle twitching, Pain — Feeling: Good · Muscle or body achesFree text: The mild body aches is lower back mostly. Also, I had a lot of right calf cramping (not painful like a charleyhorse but more like a lot of twitching in my calf and feeling like it might cramp. Happened Tuesday evening through this morning. Raised my leg on a pillow overnight. Feels better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Muscle twitching — Feeling: Good · Muscle or body achesFree text: Slight muscle cramps on my right calf since Wednesday (twitching on calf more than cramping) since Wed 3/17/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-12
- 2021-04-19
- 2021-04-25
- 2021-06-13
- 2021-09-14
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2021-10-10
- 2021-10-12
- 2021-10-13
- 2021-10-14
-
2021-10-15
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Left underarm lymph node slight swelling (same arm as shot).MedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-10-31
- 2021-11-06
- 2021-11-12
- 2021-11-19
- 2022-01-07
- 2022-04-09
-
2022-09-18
Dose 4 — Pfizer-BioNTech
-
2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Incorrect route of product administration — Feeling: Good · Site: SwellingFree text: I want to state that the CVS pharmacist in (b)(6), CA (inside the Target store) INJECTED MY Covid bivalent Pfizer booster subcutaneously on my right arm, rather than in the deltoid. She did the same on my husband's arm. Not sure why.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-23
- 2022-09-27
- 2022-10-02
- 2022-10-10
- 2022-10-16
- 2022-10-23
- 2022-10-31
- 2022-12-18
-
2023-03-19
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Pfizer-BioNTech | |
| 2 | 2021-03-14 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-09-18 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The mild body aches is lower back mostly. Also, I had a lot of right calf cramping (not painful like a charleyhorse but more like a lot of twitching in my calf and feeling like it might cramp. Happened Tuesday evening through this morning. Raised my leg on a pillow overnight. Feels better today.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Slight muscle cramps on my right calf since Wednesday (twitching on calf more than cramping) since Wed 3/17/21.
Release 10 — day 7, dose 3
Systemic reaction (other): Left underarm lymph node slight swelling (same arm as shot).
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I want to state that the CVS pharmacist in (b)(6), CA (inside the Target store) INJECTED MY Covid bivalent Pfizer booster subcutaneously on my right arm, rather than in the deltoid. She did the same on my husband's arm. Not sure why.
redacted (b)(6)
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Incorrect route of product administration | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release