69G-13637-91704
5 vaccinations
6 coded responses
47 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 982 / WA
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-05-01
Registered in v-safe
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesFree text: Moderate pain and noticeable swelling of collar bone lymph node.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Pyrexia — Feeling: Good · Site: PainFree text: Initially, the day after the 2nd dose, I had a fever that lasted 1 day. I still have mild pain and swelling in my collar bone lymph node now 5 days from my 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Just a little swelling remaining in my collar bone lymph node.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
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2021-11-02
Dose 3 — Pfizer-BioNTech
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-04-29
Dose 4 — Pfizer-BioNTech
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Mild Gland nodule pain and swelling clavicle and neckMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Mild clavicle and neck gland pain and swelling subsidingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-29
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2022-09-19
Dose 5 — Pfizer-BioNTech
- 2022-09-21
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-05
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
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2022-12-21
Survey response — 3 months, dose 5MedDRA: Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold / mild Covid symptoms began 11/15/22. Tested negative for Covid 11/16/22. Low fever began 11/18/22 and later that night tested Covid positive. Didn't take antiviral medication. Symptoms resolved around 11/24/22.MedDRA releases: 2024-11 · check-in free text available
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2022-12-21
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-22
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2021-11-02 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Moderate pain and noticeable swelling of collar bone lymph node.
Systemic reaction (other): Initially, the day after the 2nd dose, I had a fever that lasted 1 day. I still have mild pain and swelling in my collar bone lymph node now 5 days from my 2nd dose.
Systemic reaction (other): Just a little swelling remaining in my collar bone lymph node.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Mild Gland nodule pain and swelling clavicle and neck
Systemic reaction (other): Mild clavicle and neck gland pain and swelling subsiding
Release 12 — 3 months, dose 5
Symptoms: Cold / mild Covid symptoms began 11/15/22. Tested negative for Covid 11/16/22. Low fever began 11/18/22 and later that night tested Covid positive. Didn't take antiviral medication. Symptoms resolved around 11/24/22.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release