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9P9-11262-26059

4 vaccinations 8 coded responses 50 check-ins 8 free-text entries 4 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
602 / IL
Registered
2021-03-11
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Not Hispanic or Latino
Registered dependents
EVF-41977-66694 Child or adolescent in my care · Male · 2021-11-07
XAW-28857-14423 Child or adolescent in my care · Male · 2022-01-09

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-08
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Swelling of lymph nodes in left arm pit and left side of neck under ear. (Vaccine dose was in left arm)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  18. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  19. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  20. 2021-04-14
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Poor · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  22. 2021-04-22
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Heavy menstrual bleeding, Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Experienced a heavier menstrual period. Continuing to experience joint and muscle pain due to second vaccine dose. Am currently being treated with methylprednisolone for these symptoms. Symptoms have improved with methylprednisolone but not resolved.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-22
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-20
    Survey response — day 42, dose 2
    MedDRA: Lymphocyte count increased — Feeling: Good
    Free text: Elevated absolute lymphocyte count
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-10-16
    Dose 3 — Pfizer-BioNTech
  31. 2021-10-16
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-10-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  33. 2021-10-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Nausea
    Adult check-in
  35. 2021-10-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  37. 2021-10-23
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-10-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-06
    Survey response — day 21, dose 3
    MedDRA: Fatigue, Sneezing — Feeling: Fair
    Free text: Sneezing and fatigue
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-11-13
    Survey response — day 28, dose 3
    MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Upper back pain
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-11-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-16
    Survey response — 3 months, dose 3
    MedDRA: Blood test abnormal, Pre-existing disease, Rheumatoid arthritis, Ultrasound scan abnormal — Feeling: Good
    Free text: Elevated inflammatory markers (Vectra) and thickening if synovium in joints per Ultrasound. I have RA since 2008, so elevated inflammatory markers and thickening of synovium is not new but they are a bit worse as of labs/ultrasound done on 11/25/21
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-02-22
  45. 2022-04-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-09-04
    Dose 4 — Moderna
  47. 2022-09-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  48. 2022-09-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  49. 2022-09-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  50. 2022-09-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  51. 2022-09-12
    Survey response — day 7, dose 4
    MedDRA: Inflammation, Joint injury — 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
    Free text: Ankle inflammation/injury
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-09-12
    Report sent to call center — day 7, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  53. 2022-09-13
  54. 2022-09-13
  55. 2022-09-13
  56. 2022-09-18
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  57. 2022-09-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-10-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-10-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  60. 2022-10-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-12-06
    Survey response — 3 months, dose 4
    MedDRA: Fall, Fractured coccyx — 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 visit
    Free text: Fractured my tailbone after a fall on the ice while playing hockey.
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-12-06
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  63. 2022-12-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  64. 2022-12-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  65. 2022-12-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  66. 2022-12-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  67. 2023-03-05
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Pfizer-BioNTech
22021-04-08Pfizer-BioNTech
32021-10-16Pfizer-BioNTech No
42022-09-04Moderna No

Call center

4 call center cases

4 successful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Swelling of lymph nodes in left arm pit and left side of neck under ear. (Vaccine dose was in left arm)

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Experienced a heavier menstrual period. Continuing to experience joint and muscle pain due to second vaccine dose. Am currently being treated with methylprednisolone for these symptoms. Symptoms have improved with methylprednisolone but not resolved. cut off by CDC

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Elevated absolute lymphocyte count

Release 10 — day 21, dose 3

2021-11-06

Symptoms: Sneezing and fatigue

Release 10 — day 28, dose 3

2021-11-13

Symptoms: Upper back pain

Release 10 — 3 months, dose 3

2022-01-16

Symptoms: Elevated inflammatory markers (Vectra) and thickening if synovium in joints per Ultrasound. I have RA since 2008, so elevated inflammatory markers and thickening of synovium is not new but they are a bit worse as of labs/ultrasound done on 11/25/21 cut off by CDC

Release 12 — day 7, dose 4

2022-09-12

Systemic reaction (other): Ankle inflammation/injury

Release 12 — 3 months, dose 4

2022-12-06

Symptoms: Fractured my tailbone after a fall on the ice while playing hockey.

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDBack pain · · ✓
SDBlood test abnormal · · ✓
SDFall · · ✓
SDFatigue · · ✓
SDFractured coccyx · · ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDLymphocyte count increased ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRheumatoid arthritis · · ✓
SDSneezing · · ✓
SDUltrasound scan abnormal · · ✓
SROInflammation · · ✓
SROJoint injury · · ✓
SROLymphadenopathy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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