6JK-16828-75294
5 vaccinations
12 coded responses
64 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Pfizer-BioNTech
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-21
Dose 2 — Pfizer-BioNTech
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Headache last night - only lasted 2 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-05-24
- 2021-08-22
-
2021-12-18
Dose 3 — Moderna
- 2021-12-18
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: headache started 6 hours after vaccination and only lasted 6 hoursMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: noticed swollen underarm lymph area in arm that was vaccinatedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: slight swelling in armpit lymph area in vaccinated armMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: mild swelling in armpit lymph area of arm that was immunizedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: slight swelling in armpit lymph area in the vaccinated armMedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: slight swelling in armpit lymph area in inoculated armMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-24
- 2022-01-29
- 2022-03-19
-
2022-06-03
Dose 4 — Moderna
-
2022-06-04
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling in underarm area of arm that was vaccinatedMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: swelling in armpit lymph area in the arm that was vaccinatedMedDRA releases: 2024-11 · check-in free text available
- 2022-06-07
- 2022-06-08
- 2022-06-09
- 2022-06-10
- 2022-06-19
- 2022-06-26
- 2022-07-03
- 2022-07-10
- 2022-07-15
- 2022-09-02
-
2022-11-02
Dose 5 — Moderna
- 2022-11-02
-
2022-11-03
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: swelling in underarm lymph area of vaccinated armMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy — Feeling: GoodFree text: slight swelling in armpit lymph area of vaccinated armMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-18
- 2022-11-23
- 2022-12-01
- 2022-12-07
- 2023-02-03
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-21 | Pfizer-BioNTech | |
| 3 | 2021-12-18 | Moderna | No |
| 4 | 2022-06-03 | Moderna | No |
| 5 | 2022-11-02 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Headache last night - only lasted 2 hours
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): headache started 6 hours after vaccination and only lasted 6 hours
Systemic reaction (other): noticed swollen underarm lymph area in arm that was vaccinated
Systemic reaction (other): slight swelling in armpit lymph area in vaccinated arm
Systemic reaction (other): mild swelling in armpit lymph area of arm that was immunized
Systemic reaction (other): slight swelling in armpit lymph area in the vaccinated arm
Release 10 — day 7, dose 3
Systemic reaction (other): slight swelling in armpit lymph area in inoculated arm
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swelling in underarm area of arm that was vaccinated
Systemic reaction (other): swelling in armpit lymph area in the arm that was vaccinated
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): swelling in underarm lymph area of vaccinated arm
Systemic reaction (other): slight swelling in armpit lymph area of vaccinated arm
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 | Rash | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release