68H-10555-91214
4 vaccinations
9 coded responses
47 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Dose 1 — Pfizer-BioNTech
-
2021-03-29
Registered in v-safe
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-11
-
2021-04-22
Dose 2 — Pfizer-BioNTech
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-01
- 2021-05-06
- 2021-05-13
- 2021-05-22
- 2021-06-03
- 2021-07-22
- 2021-10-22
-
2021-10-25
Dose 3 — Pfizer-BioNTech
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Breast swelling, Oedema peripheral — Feeling: Good · Site: PainFree text: Swelling on side below left armpit and to left of left breastMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Swelling of lymph nodes near left clavicle areaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes near left clavicleMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Lymph nodes swelling near left clavicleMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-26
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Ageusia, Anosmia, Body temperature increased, Conjunctivitis, Diarrhoea, Gastrooesophageal reflux disease, Laryngitis, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: severe GERD, laryngitis, conjunctivitis both eyes, loss of taste and smell, fever 100 degrees F, vomiting, loose stool. Conjunctivitis is still present in both eyes since Dec. 11, 2021.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-25
Survey response — 6 months, dose 3MedDRA: Medical procedure, Pneumonia aspiration — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Aspiration pneumonia from medical procedure. Not able to get second booster until second chest X-ray is performed and evaluated.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-13
Dose 4 — Moderna
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Tender and swollen lymph node near left clavicleMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Lymph node swelling and soreness at left clavicleMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-18
- 2022-06-25
- 2022-08-12
-
2022-11-11
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Covid 19MedDRA releases: 2024-11 · check-in free text available
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech | |
| 3 | 2021-10-25 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling on side below left armpit and to left of left breast
Systemic reaction (other): Swelling of lymph nodes near left clavicle area
Systemic reaction (other): Swollen lymph nodes near left clavicle
Systemic reaction (other): Lymph nodes swelling near left clavicle
Release 11 — 3 months, dose 3
Symptoms: severe GERD, laryngitis, conjunctivitis both eyes, loss of taste and smell, fever 100 degrees F, vomiting, loose stool. Conjunctivitis is still present in both eyes since Dec. 11, 2021.
Release 11 — 6 months, dose 3
Symptoms: Aspiration pneumonia from medical procedure. Not able to get second booster until second chest X-ray is performed and evaluated.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Tender and swollen lymph node near left clavicle
Systemic reaction (other): Lymph node swelling and soreness at left clavicle
Release 12 — 6 months, dose 4
Symptoms: Covid 19
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Medical procedure | · | · | ✓ |
| SD | Pneumonia aspiration | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Breast swelling | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release