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XAK-67204-19949

4 vaccinations 1 coded response 23 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
900 / CA
Registered
2021-03-20
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
E9Z-69938-10079 Child or adolescent in my care · Male · 2022-09-27

Timeline

  1. 2021-03-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-20
    Registered in v-safe
  3. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-26
    Dose 2 — Pfizer-BioNTech
  5. 2021-03-26
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Headache, Muscle or body aches
    Adult check-in
  7. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Pain — Feeling: Good
    Free text: lymph node under left armpit was swollen and sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-12-02
    Dose 3 — Moderna
  21. 2022-03-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-09-27
    Dose 4 — Pfizer-BioNTech
  23. 2022-09-27
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  24. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-10-07
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-10-11
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-10-25
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Pfizer-BioNTech
22021-03-26Pfizer-BioNTech
32021-12-02Moderna No
42022-09-27Pfizer-BioNTech No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): lymph node under left armpit was swollen and sore

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
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓

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

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