6YW-22402-75412
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 128 / NY
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Pfizer-BioNTech
- 2021-02-23
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2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fever · HeadacheAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
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2021-03-16
Dose 2 — Pfizer-BioNTech
- 2021-03-16
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Fair · Site: Swelling · HeadacheFree text: Swelling in the armpit of injection side of body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Swelling — Feeling: Good · Site: Pain, SwellingFree text: Swelling in left armpit is still present from yesterday. (Injection side)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass — Feeling: GoodFree text: The lump under the left armpit has diminished in size and sensitivity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: The swelling under the left armpit is almost completely gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
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2021-03-30
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Overall achy joints with an emphasis on the hips.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-14
- 2021-04-20
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2021-04-27
Survey response — day 42, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Paraesthesia — Feeling: FairFree text: The swollen lymph gland in the left armpit has swollen again after a few weeks. Not to the same extent as two days after the second dose, but enough to cause severe tenderness and slight tingling in left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-09-14
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2021-10-13
Dose 3 — Pfizer-BioNTech
- 2022-03-16
-
2022-04-25
Dose 4 — Moderna
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2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-08
- 2022-07-25
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2022-10-24
Survey response — 6 months, dose 4MedDRA: Influenza like illness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Flu like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-16 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-04-25 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling in the armpit of injection side of body.
Systemic reaction (other): Swelling in left armpit is still present from yesterday. (Injection side)
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The lump under the left armpit has diminished in size and sensitivity.
Systemic reaction (other): The swelling under the left armpit is almost completely gone.
Release 6 — day 14, dose 2
Symptoms: Overall achy joints with an emphasis on the hips.
Release 8 — day 42, dose 2
Symptoms: The swollen lymph gland in the left armpit has swollen again after a few weeks. Not to the same extent as two days after the second dose, but enough to cause severe tenderness and slight tingling in left arm.
Release 12 — 6 months, dose 4
Symptoms: Flu like symptoms
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Axillary mass | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Swelling | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release