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Z3L-20323-17010

4 vaccinations 10 coded responses 22 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
104 / NY
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-15
    Registered in v-safe
  3. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tremor — Feeling: Poor · Headache, Nausea, Diarrhea
    Free text: Shakiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-16
    Survey response — day 7, dose 1
    MedDRA: Dyspepsia — Feeling: Fair
    Free text: Heartburn (recurrent nearly everydaybsince shot but not appearing previously)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-30
    Dose 2 — Pfizer-BioNTech
  7. 2021-04-30
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flatulence — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Foul gas
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Swollen lymph nodes in armpit on the side where I received the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Free text: Swollen lymph nodes in armpit of side where received shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness
    Free text: Swollen lymoh nodes in armpit on side where got the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes in armpit of shot arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-07
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes in arm pit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-30
    Survey response — 3 months, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair
    Free text: Reactivation of Epstein Barr virus
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-12-22
    Dose 3 — Moderna
  23. 2022-04-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-09-14
    Dose 4 — Pfizer-BioNTech
  25. 2022-10-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-12-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  27. 2023-03-15
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Pfizer-BioNTech
22021-04-30Pfizer-BioNTech
32021-12-22Moderna No
42022-09-14Pfizer-BioNTech No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Shakiness

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Heartburn (recurrent nearly everydaybsince shot but not appearing previously)

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Foul gas

2021-05-02

Systemic reaction (other): Swollen lymph nodes in armpit on the side where I received the shot

2021-05-03

Systemic reaction (other): Swollen lymph nodes in armpit of side where received shot

2021-05-04

Systemic reaction (other): Swollen lymoh nodes in armpit on side where got the shot

2021-05-05

Systemic reaction (other): Swollen lymph nodes in armpit of shot arm

2021-05-06

Systemic reaction (other): Swollen lymph nodes in armpit

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Swollen lymph nodes in arm pit

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Reactivation of Epstein Barr virus

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
SDCondition aggravated ✓ · ✓
SDPre-existing disease ✓ · ✓
SRODyspepsia ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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

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