Z97-33635-19846
5 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 940 / CA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Pfizer-BioNTech
-
2021-01-20
Dose 2 — Pfizer-BioNTech
-
2021-01-24
Registered in v-safe
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-10-07
Dose 3 — Pfizer-BioNTech
-
2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body achesAdult check-in
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, SwellingFree text: enlarged lymph nodes under left arm ( same arm as injection site)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Enlarged lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: mild lymph node swelling. Better than yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: Itching · HeadacheFree text: Last night I had a H/A on top of my head. Not sure if it's related to vaccine. I have had a headache off and on all weekend but not sure if it's related to vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Survey response — day 7, dose 3MedDRA: Head discomfort, Headache — Feeling: Good · HeadacheFree text: Not sure if intermittent mild H/A is related to vaccine, very likely not but my head has strange goings on.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-13
- 2021-11-18
- 2022-01-06
-
2022-04-02
Dose 4 — Moderna
- 2022-04-07
-
2022-10-10
Dose 5 — Moderna
-
2022-10-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-12
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-16
- 2022-11-23
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-20 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): enlarged lymph nodes under left arm ( same arm as injection site)
Systemic reaction (other): Enlarged lymph nodes
Systemic reaction (other): mild lymph node swelling. Better than yesterday.
Systemic reaction (other): Last night I had a H/A on top of my head. Not sure if it's related to vaccine. I have had a headache off and on all weekend but not sure if it's related to vaccine.
Release 10 — day 7, dose 3
Systemic reaction (other): Not sure if intermittent mild H/A is related to vaccine, very likely not but my head has strange goings on.
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 |
|---|---|---|---|---|
| SRO | Head discomfort | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release