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RFU-19564-59842

4 vaccinations 3 coded responses 11 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
662 / KS
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-09
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-15
    Registered in v-safe
  4. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes under armpit and neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-07-09
    Survey response — 3 months, dose 2
    MedDRA: Pyrexia, Sinusitis — Feeling: Good
    Free text: Sinus infection lasted 3 days. Had low grade fever. treated with decongestant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-11-24
    Dose 3 — Pfizer-BioNTech
  13. 2022-04-09
    Survey response — 12 months, dose 2
    MedDRA: Deep vein thrombosis, Pregnancy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Became pregnant. Developed a DVT in right leg
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-04-09
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  15. 2022-04-14
  16. 2022-10-15
    Dose 4 — Moderna
  17. 2022-10-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  18. 2023-01-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Pfizer-BioNTech
22021-04-09Pfizer-BioNTech
32021-11-24Pfizer-BioNTech No
42022-10-15Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Swollen lymph nodes under armpit and neck

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Sinus infection lasted 3 days. Had low grade fever. treated with decongestant

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Became pregnant. Developed a DVT in right leg

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
SDDeep vein thrombosis · · ✓
SDPregnancy · · ✓
SDPyrexia ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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