6Y6-24100-28203
3 vaccinations
7 coded responses
27 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 021 / MA
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4NA-17300-40851
Child or adolescent in my care · Male · 2021-11-10
Timeline
-
2021-04-14
Dose 1 — Pfizer-BioNTech
-
2021-05-05
Dose 2 — Pfizer-BioNTech
-
2021-05-06
Registered in v-safe
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Lymph node/armpit soreness near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-19
- 2021-05-28
- 2021-06-02
- 2021-06-09
-
2021-06-16
Survey response — day 42, dose 2MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have a bad migraine today. It's improving with medication luckily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-04
- 2021-11-03
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2021-12-06
Dose 3 — Moderna
- 2021-12-06
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2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Hot flush — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Face feels flushed and hot (no fever though)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Swollen armpit glands (injection side only), injection arm very tender and painful to the touch all the way down to the wrist (dissipated with gentle massage)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-20
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2021-12-27
Survey response — day 21, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had recurring labyrinthitis for about 10 years and it's flaring up right now.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
- 2022-01-10
- 2022-01-17
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2022-03-07
Survey response — 3 months, dose 3MedDRA: Type 2 diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with diabetes (type 2)MedDRA releases: 2024-11 · check-in free text available
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2022-03-07
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-06
Survey response — 6 months, dose 3MedDRA: Type 2 diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diagnosed with Type 2 diabetesMedDRA releases: 2024-11 · check-in free text available
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2022-06-06
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-06-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | |
| 2 | 2021-05-05 | Pfizer-BioNTech | |
| 3 | 2021-12-06 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node/armpit soreness near injection site
Release 9 — day 42, dose 2
Symptoms: I have a bad migraine today. It's improving with medication luckily.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Face feels flushed and hot (no fever though)
Systemic reaction (other): Swollen armpit glands (injection side only), injection arm very tender and painful to the touch all the way down to the wrist (dissipated with gentle massage)
Release 10 — day 21, dose 3
Symptoms: I have had recurring labyrinthitis for about 10 years and it's flaring up right now.
Release 11 — 3 months, dose 3
Symptoms: Diagnosed with diabetes (type 2)
Release 11 — 6 months, dose 3
Symptoms: Diagnosed with Type 2 diabetes
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 | Condition aggravated | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Type 2 diabetes mellitus | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release