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5XK-11606-83386

3 vaccinations 11 coded responses 42 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
891 / NV
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-09
    Survey response — day 0, dose 1
    MedDRA: Nausea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Free text: I think the nausea is most likely from anxiety over the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-30
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-13
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-20
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  15. 2021-06-08
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-09-07
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-10-28
    Dose 2 — Pfizer-BioNTech
    Co-administered: Other
  18. 2021-10-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-10-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Site: Pain
    Free text: Pain in my armpit in the arm I got my boister shot
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Lymph nodes in my armpit noticeably swollen under tbe arm I had my Pfizer booster. Not as painful today and swelling appears to have gone down somewhat
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Armpit in arm where I got my pfizer booster is still swollen...hardly any pain today
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Swelling under arm where I got my pfizer booster
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Armpit still slightly swollen under arm I got my Pfizer booster...almost completely gone now
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-04
    Survey response — day 7, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Swelling under arm where I got my Pfizer booster almost gone
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-01-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-03-31
    Dose 3 — Pfizer-BioNTech
  32. 2022-04-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  33. 2022-04-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Lymph nodes under arm swollen
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-04-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes under arm
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes under arm
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-04-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-04-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2022-04-07
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2022-04-14
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-21
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-05
    Survey response — day 35, dose 3
    MedDRA: Abdominal discomfort, Abdominal pain upper, Food poisoning — Feeling: Fair
    Free text: Stomach pain and upset..suspected food poisoning
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-06-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-09-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2023-03-31
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Janssen/Johnson & Johnson
22021-10-28Pfizer-BioNTech Other
32022-03-31Pfizer-BioNTech No

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): I think the nausea is most likely from anxiety over the shot

Release 10 — days 1–6 daily, dose 2

2021-10-30

Systemic reaction (other): Pain in my armpit in the arm I got my boister shot

2021-10-31

Systemic reaction (other): Lymph nodes in my armpit noticeably swollen under tbe arm I had my Pfizer booster. Not as painful today and swelling appears to have gone down somewhat

2021-11-01

Systemic reaction (other): Armpit in arm where I got my pfizer booster is still swollen...hardly any pain today

2021-11-02

Systemic reaction (other): Swelling under arm where I got my pfizer booster

2021-11-03

Systemic reaction (other): Armpit still slightly swollen under arm I got my Pfizer booster...almost completely gone now

Release 10 — day 7, dose 2

2021-11-04

Systemic reaction (other): Swelling under arm where I got my Pfizer booster almost gone

Release 11 — days 1–6 daily, dose 3

2022-04-02

Systemic reaction (other): Lymph nodes under arm swollen

2022-04-03

Systemic reaction (other): Swollen lymph nodes under arm

2022-04-04

Systemic reaction (other): Swollen lymph nodes under arm

Release 11 — day 35, dose 3

2022-05-05

Symptoms: Stomach pain and upset..suspected food poisoning

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
SDAbdominal discomfort · · ✓
SDAbdominal pain upper · · ✓
SDFood poisoning · · ✓
SROAxillary pain · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SRONausea ✓ ✓ ✓
SROOedema peripheral · · ✓

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