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JMX-15525-64119

3 vaccinations 4 coded responses 29 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
967 / HI
Registered
2021-05-16
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
53W-22464-98976 Child or adolescent in my care · Male · 2021-11-16

Timeline

  1. 2021-04-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-14
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-16
    Registered in v-safe
  4. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mass, Oedema peripheral — Feeling: Good · Fever
    Free text: Hard Swollen mass in underarm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Fair · Headache · Be unable to do your normal daily activities
    Free text: Swelling in underarm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: Swelling in underarm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-01-19
    Dose 3 — Pfizer-BioNTech
  18. 2022-01-19
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  19. 2022-01-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  20. 2022-01-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2022-01-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2022-01-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2022-01-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2022-01-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  25. 2022-01-26
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2022-02-02
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  27. 2022-02-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-02-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-02-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-03-02
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-20
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-07-20
    Survey response — 6 months, dose 3
    MedDRA: Ageusia, COVID-19, Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Positive for covid. Fatigue and no taste
    MedDRA releases: 2024-11 · check-in free text available
  33. 2023-01-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Pfizer-BioNTech
22021-05-14Pfizer-BioNTech
32022-01-19Pfizer-BioNTech No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Hard Swollen mass in underarm

2021-05-17

Systemic reaction (other): Swelling in underarm

2021-05-18

Systemic reaction (other): Swelling in underarm

Release 12 — 6 months, dose 3

2022-07-20

Symptoms: Positive for covid. Fatigue and no taste

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
SDAgeusia · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SROMass ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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

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