Z4T-15004-62355
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 487 / MI
- Registered
- 2020-12-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2020-12-25
Registered in v-safe
- 2020-12-25
- 2020-12-26
- 2020-12-29
- 2021-01-05
-
2021-01-12
Dose 2 — Pfizer-BioNTech
- 2021-01-26
-
2021-02-02
Survey response — day 21, dose 2MedDRA: Tongue disorder — Feeling: GoodFree text: Lie bumps on tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-04-13
- 2021-07-15
-
2021-10-07
Dose 3 — Pfizer-BioNTech
-
2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessAdult check-in
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Swollen armpit on side of vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: Swollen ipsilateral armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Ipsilateral armpit swellingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-16
- 2021-10-24
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-20
- 2022-01-06
- 2022-04-07
- 2022-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
Free text
Release 3 — day 21, dose 2
Symptoms: Lie bumps on tongue
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen armpit on side of vaccine
Systemic reaction (other): Swollen ipsilateral armpit
Systemic reaction (other): Ipsilateral armpit swelling
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Tongue disorder | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release