666-11669-73494
3 vaccinations
3 coded responses
6 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-11-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
47L-34023-64118
Child or adolescent in my care · Male · 2021-11-23
RFJ-81157-42705
Child or adolescent in my care · Male · 2021-11-23
7JU-16432-80368
Child or adolescent in my care · Male · 2021-11-23
UC5-18835-64762
Adult relative or friend · Male · 2021-11-23
Timeline
-
2021-01-04
Dose 1 — Pfizer-BioNTech
-
2021-02-25
Dose 2 — Pfizer-BioNTech
-
2021-11-21
Dose 3 — Pfizer-BioNTech
-
2021-11-22
Registered in v-safe
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Ear pain, Neck pain, Pain in extremity, Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I developed a bump in my clavicle it is swelling and painful my neck, arm, shoulder and ear in the left side hurtsMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Ear pain, Facial pain, Headache, Medical counselling, Neck pain, Nightmare, Pain in extremity, Self-medication, Sleep disorder, Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Swelling between shoulder and nech, pain from arm to nech, ear and face all in left side. Also headaches have increased. I also have been experiencing lot of nightmares and sleeping issues · Healthcare visit (other): Yesterday I was checked by a dr. By phone, and was prescribed ibuprofen ever 6 hours, rest and drink a lot of water. Today I am following the instructions dr. Gave me yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Dizziness, Ear pain, Facial pain, Headache, Neck pain, Nightmare, Pain in extremity, Sleep disorder, Swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Swelling between shoulder and neck, pain from arm to half left face including ear and neck shoulder. Nightmare sleeping issues and sometimes dizzy and also headaches. Symptom are better today than yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-28
- 2021-11-29
- 2022-01-13
- 2022-01-18
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Pfizer-BioNTech | No |
| 2 | 2021-02-25 | Pfizer-BioNTech | No |
| 3 | 2021-11-21 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I developed a bump in my clavicle it is swelling and painful my neck, arm, shoulder and ear in the left side hurts
Systemic reaction (other): Swelling between shoulder and nech, pain from arm to nech, ear and face all in left side. Also headaches have increased. I also have been experiencing lot of nightmares and sleeping issues
Healthcare visit (other): Yesterday I was checked by a dr. By phone, and was prescribed ibuprofen ever 6 hours, rest and drink a lot of water. Today I am following the instructions dr. Gave me yesterday.
Systemic reaction (other): Swelling between shoulder and neck, pain from arm to half left face including ear and neck shoulder. Nightmare sleeping issues and sometimes dizzy and also headaches. Symptom are better today than yesterday
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Self-medication | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Facial pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Nightmare | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release