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EU4-11354-20493

4 vaccinations 14 coded responses 35 check-ins 14 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
601 / IL
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
5K4-23462-84341 Child or adolescent in my care · Female · 2022-06-28

Timeline

  1. 2021-03-30
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good · Muscle or body aches
    Free text: Lower back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good
    Free text: Still a little lower back pain- just something Ive never had until now so marking it down
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good
    Free text: Lower back pain but seems to be going away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good · Muscle or body aches
    Free text: The continued lower back pain today actually worse than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-06
    Survey response — day 7, dose 1
    MedDRA: Back pain — Feeling: Good
    Free text: Slight ache left in the lower back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-20
    Dose 2 — Pfizer-BioNTech
  10. 2021-04-20
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Congestion and stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  13. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-05-04
    Survey response — day 14, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair
    Free text: I got a real bad cold- aligned with covid symptoms but tested negative. I think its separate from the shot (daughter in daycare) but wanted to make note of it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-27
    Survey response — day 35, dose 2
    MedDRA: Neck pain — Feeling: Fair
    Free text: I dont know if this went through on Tuesday - but neck pain - dont know if it reminds me of the lower back pain I had with the first shot - Ive never had any sort of pain like this before so want to make note.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-02
    Dose 3 — Pfizer-BioNTech
  26. 2022-04-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-09-19
    Dose 4 — Pfizer-BioNTech
  29. 2022-09-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site pain, Lymphadenopathy, Pyrexia — Feeling: Fair · Fatigue or tiredness
    Free text: Swollen lymph node with pain under arm of injection site. Mild pain at injection site yesterday and fever about 12 hours after shot.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-09-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Lymph node pain, Lymphadenopathy, Pain — Feeling: Good · Muscle or body aches
    Free text: Still swollen lymphnode under armpit with a pain that radiates up to the wrist (like a tight muscle) when I raise my arm
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-09-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Underarm lymphnode still swollen but doesn't hurt much anymore
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-09-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness
    Free text: Continued swollen under armpit lymphnode
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-09-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair
    Free text: Lymphnode under armpit still swollen
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-09-26
    Survey response — day 7, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Lymphnode swelling almost all gone but still slightly swollen
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-10-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-10-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-10-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-10-31
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-12-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2023-03-20
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Pfizer-BioNTech
22021-04-20Pfizer-BioNTech
32021-11-02Pfizer-BioNTech No
42022-09-19Pfizer-BioNTech No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Lower back pain

2021-04-03

Systemic reaction (other): Still a little lower back pain- just something Ive never had until now so marking it down

2021-04-04

Systemic reaction (other): Lower back pain but seems to be going away

Release 7 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): The continued lower back pain today actually worse than yesterday.

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Slight ache left in the lower back

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Congestion and stuffy nose

Release 8 — day 14, dose 2

2021-05-04

Symptoms: I got a real bad cold- aligned with covid symptoms but tested negative. I think its separate from the shot (daughter in daycare) but wanted to make note of it.

Release 8 — day 35, dose 2

2021-05-27

Symptoms: I dont know if this went through on Tuesday - but neck pain - dont know if it reminds me of the lower back pain I had with the first shot - Ive never had any sort of pain like this before so want to make note.

Release 12 — days 1–6 daily, dose 4

2022-09-21

Systemic reaction (other): Swollen lymph node with pain under arm of injection site. Mild pain at injection site yesterday and fever about 12 hours after shot.

2022-09-22

Systemic reaction (other): Still swollen lymphnode under armpit with a pain that radiates up to the wrist (like a tight muscle) when I raise my arm

2022-09-23

Systemic reaction (other): Underarm lymphnode still swollen but doesn't hurt much anymore

2022-09-24

Systemic reaction (other): Continued swollen under armpit lymphnode

2022-09-25

Systemic reaction (other): Lymphnode under armpit still swollen

Release 12 — day 7, dose 4

2022-09-26

Systemic reaction (other): Lymphnode swelling almost all gone but still slightly swollen

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
SDNasopharyngitis ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROArthralgia · · ✓
SROBack pain ✓ ✓ ✓
SROInjection site pain · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SRONasal congestion ✓ ✓ ✓
SROPain · · ✓
SROPyrexia · · ✓
SRORespiratory tract congestion ✓ ✓ ✓

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