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Z6N-20113-23986

5 vaccinations 8 coded responses 55 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
085 / NJ
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
6BS-32647-96706 Child or adolescent in my care · Male · 2022-06-30

Timeline

  1. 2021-01-27
    Registered in v-safe
  2. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-27
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Paraesthesia — Feeling: Good
    Free text: Mild tingling sensation on left arm, neck, face about 30 minutes after injection that lasted for ~2 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Musculoskeletal chest pain, Musculoskeletal pain, Neck pain — Feeling: Good · Site: Pain
    Free text: Upon going to bed last night, I had pains in my left ribs under arms, left shoulder blade, left side of neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-17
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-17
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cardiac flutter, Night sweats, Paraesthesia, Rhinorrhoea — Feeling: Good · Site: Pain
    Free text: Tingling sensation in face, runny nose, woke up with (only) sweaty legs, minor heart fluttering
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Injection site pain, Injection site swelling, Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: Runny nose, neck and back pain last night. Took tylenol and Motrin. Just pain and swelling at injection site today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunisation reaction — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: I believe I have "covid arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Fatigue, Flushing — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Face felt flush last night, no fever, covid arm going away, felt a little tired/ dizzy last night. Fine today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Pain, Pain in extremity, Sleep disorder — Feeling: Good · Site: Pain
    Free text: Woke up last night to a strange almost throbbing pain under my left arm (injection arm) it subsided after a few minutes but it hurt quite a bit and enough to wake me up. Not sure of it was related to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-29
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  29. 2021-09-29
    Health check-in — day 0, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  30. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-10-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-03-31
    Dose 4 — Pfizer-BioNTech
  45. 2022-04-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  46. 2022-04-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2022-04-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  48. 2022-04-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  49. 2022-04-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  50. 2022-04-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  51. 2022-04-07
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-04-14
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-04-21
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-05-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-06-30
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-09-12
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  59. 2022-09-29
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  60. 2022-10-21
    Survey response — day 35, dose 5
    MedDRA: Pain, Superficial vein thrombosis — Feeling: Good · Be unable to do your normal daily activities
    Free text: I don't believe this is related to the vaccine, but I developed 2 areas in my left upper foot with superficial thromboplhlebitis a couple of weeks after the bivalent booster. I've had more body aches than usual. Probably unrelated to vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  61. 2023-03-13
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-17Pfizer-BioNTech
32021-09-29Pfizer-BioNTech Flu
42022-03-31Pfizer-BioNTech No
52022-09-12Pfizer-BioNTech Flu

Free text

Release 2 — day 0, dose 1

2021-01-27

Systemic reaction (other): Mild tingling sensation on left arm, neck, face about 30 minutes after injection that lasted for ~2 hours.

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Upon going to bed last night, I had pains in my left ribs under arms, left shoulder blade, left side of neck

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Tingling sensation in face, runny nose, woke up with (only) sweaty legs, minor heart fluttering

2021-02-19

Systemic reaction (other): Runny nose, neck and back pain last night. Took tylenol and Motrin. Just pain and swelling at injection site today.

2021-02-20

Systemic reaction (other): I believe I have "covid arm

2021-02-21

Systemic reaction (other): Face felt flush last night, no fever, covid arm going away, felt a little tired/ dizzy last night. Fine today.

2021-02-23

Systemic reaction (other): Woke up last night to a strange almost throbbing pain under my left arm (injection arm) it subsided after a few minutes but it hurt quite a bit and enough to wake me up. Not sure of it was related to the vaccine.

Release 12 — day 35, dose 5

2022-10-21

Symptoms: I don't believe this is related to the vaccine, but I developed 2 areas in my left upper foot with superficial thromboplhlebitis a couple of weeks after the bivalent booster. I've had more body aches than usual. Probably unrelated to vaccine.

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
SDPain · · ✓
SDSuperficial vein thrombosis · · ✓
SROAxillary pain ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROCardiac flutter ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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