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A77-25978-23029

4 vaccinations 5 coded responses 47 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
220 / VA
Registered
2020-12-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
FGH-37610-67062 Child or adolescent in my care · Male · 2022-10-21

Timeline

  1. 2020-12-18
    Registered in v-safe
  2. 2020-12-18
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-18
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy, Sensitisation — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Mild lymph node swelling/sensitivity in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2020-12-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruise at site of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-27
    Survey response — day 7, dose 1
    MedDRA: Axillary pain — Feeling: Good
    Free text: Small amount of intermittent pain in armpit, as before
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  10. 2021-01-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-01-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Increased heart rate 70s- 80s resting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-09
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  13. 2021-01-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-01-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-19
    Dose 3 — Pfizer-BioNTech
  25. 2021-10-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2021-10-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-26
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-01-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-04-19
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-10-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-10-21
    Dose 4 — Moderna
  39. 2022-10-21
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  40. 2022-10-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  41. 2022-10-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-10-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  43. 2022-10-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-10-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-10-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-10-28
    Health check-in — day 7, dose 4
    Feeling: Good · Headache · Be unable to work or attend school
    Adult check-in
  47. 2022-11-04
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-11-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-11-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-11-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-12-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  52. 2023-01-20
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  53. 2023-04-21
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-18Pfizer-BioNTech
22021-01-08Pfizer-BioNTech
32021-10-19Pfizer-BioNTech No
42022-10-21Moderna No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): Mild lymph node swelling/sensitivity in armpit

2020-12-22

Systemic reaction (other): Bruise at site of injection

Release 1 — day 7, dose 1

2020-12-27

Systemic reaction (other): Small amount of intermittent pain in armpit, as before

Release 1 — days 1–6 daily, dose 2

2021-01-09

Systemic reaction (other): Increased heart rate 70s- 80s resting

Release 12 — days 1–6 daily, dose 4

2022-10-23

Systemic reaction (other): Dizziness

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
SROAxillary pain ✓ ✓ ✓
SRODizziness · · ✓
SROHeart rate increased ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSensitisation ✓ ✓ ✓
SROSensitive skin ○ ○ ○

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

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