A4R-24146-85585
4 vaccinations
10 coded responses
47 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 209 / MD
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Z5L-89880-73613
Child or adolescent in my care · Female · 2022-06-25
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Pfizer-BioNTech
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Pfizer-BioNTech
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-11-10
Dose 3 — Pfizer-BioNTech
- 2021-11-10
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Swollen lymph node above collar bone, on the side of inhectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node above collar bone on injection side of bodyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen Lymph node above collar bone on side of injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Slightly swollen lymph node above collar bone on side of injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2021-12-15
Survey response — day 35, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: I feel like I have the coldMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2022-02-10
- 2022-05-13
-
2022-09-08
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-09-11
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Since the day after the injection: Swollen, tender lymph node above clavicle, on the side of the injection (left side)MedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
-
2022-09-22
Survey response — day 14, dose 4MedDRA: Laryngitis — Feeling: GoodFree text: LaryngitisMedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Survey response — day 21, dose 4MedDRA: Laryngitis, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus infection, laryngitisMedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-13
- 2022-10-22
-
2022-12-08
Survey response — 3 months, dose 4MedDRA: Bronchitis, Laryngitis, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinusitis, laryngitis, bronchitisMedDRA releases: 2024-11 · check-in free text available
-
2023-03-09
Survey response — 6 months, dose 4MedDRA: Office visit, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-09
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-11-10 | Pfizer-BioNTech | No |
| 4 | 2022-09-08 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node above collar bone, on the side of inhection
Systemic reaction (other): Swollen lymph node above collar bone on injection side of body
Systemic reaction (other): Swollen Lymph node above collar bone on side of injection
Systemic reaction (other): Slightly swollen lymph node above collar bone on side of injection
Release 10 — day 35, dose 3
Symptoms: I feel like I have the cold
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Since the day after the injection: Swollen, tender lymph node above clavicle, on the side of the injection (left side)
Release 12 — day 14, dose 4
Symptoms: Laryngitis
Release 12 — day 21, dose 4
Symptoms: Sinus infection, laryngitis
Release 12 — 3 months, dose 4
Symptoms: Sinusitis, laryngitis, bronchitis
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release