XWH-14153-06669

4 vaccinations 12 coded responses 50 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 030 / NH
Registered: 2021-01-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-14
Health check-in — 0 day, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-02
Health check-in — 0 day, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache

MedDRA releases: 2024-11 · check-in answers available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

MedDRA releases: 2024-11 · check-in answers available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-10-06
Survey response — 7 day, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-10-13
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-09-29
Survey response — 12 month, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2022-12-16
Dose 4 — Pfizer-BioNTech
2022-12-19
Survey response — days 1–6 daily, dose 4
MedDRA: Pyrexia — Feeling: Good · Site: Pain · Headache

MedDRA releases: 2024-11 · check-in answers available
2022-12-20
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-12-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-23
Health check-in — 7 day, dose 4
Feeling: Good · None

Adult check-in
2022-12-30
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2023-01-06
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2023-01-27
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2023-06-16
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-12-16	Pfizer-BioNTech	No

Free text

Release 3

Systemic reaction (other): Swollen lymph node under armpit where I received vaccine

Systemic reaction (other): Swollen and painful lymph node under armpit of the arm I got my vaccine on

Systemic reaction (other): Pain in my lymph node under the armpit of the arm I got the shot in

Release 9

Systemic reaction (other): Swollen lymph nodes near collar bone on side I got vaccine

Systemic reaction (other): Swollen lymph nodes on collar bone on same side I got vaccine

Systemic reaction (other): Swelling near lymph nodes on collarbone near side i got vaccine

Release 10

Systemic reaction (other): Swollen lymph nodes on collar bone on side I got vaccine

Systemic reaction (other): Swollen lymph nodes on collar bone on same side I got vaccine

Systemic reaction (other): Swollen lymph nodes near collar bone on side of body I got shot on

Release 12

Symptoms: I got COVID

Systemic reaction (other): Fever day after vaccine

Systemic reaction (other): Slight pain in my armpit on the side I got the shot

Free-text releases are not linked to a specific 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

Field	Preferred term	2021-09	2023-04	2024-11
SD	COVID-19	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pyrexia	·	·	✓

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