35F-26130-24357

4 vaccinations 7 coded responses 29 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 910 / CA
Registered: 2021-12-13

Relationship: Child or adolescent in my care
Guardian: 6VP-61598-78489
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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-12-13
Registered in v-safe
2021-12-13
Dose 3 — Pfizer-BioNTech
2021-12-13
Survey response — day 0, dose 3, dependent
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Dizziness/lightheaded

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Dizziness, Gastrooesophageal reflux disease — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, wooziness, reflux

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-20
Health check-in — day 7, dose 3, dependent
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-12-27
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-01-17
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-03-14
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-13
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-10
Dose 4 — Pfizer-BioNTech
2022-09-10
Survey response — day 0, dose 4, dependent
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Survey response — days 1–6 daily, dose 4, dependent
MedDRA: Insomnia, Restlessness — Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Restlessness, insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-13
Survey response — days 1–6 daily, dose 4, dependent
MedDRA: Asthenia, Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feeling weak/woozy

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · Site: Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · None

Adult check-in
2022-09-17
Health check-in — day 7, dose 4, dependent
Feeling: Good · Joint pains

Adult check-in
2022-09-24
Survey response — day 14, dose 4, dependent
MedDRA: Menstruation delayed — Feeling: Good

Free text: Late period

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — day 21, dose 4, dependent
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 28, dose 4, dependent
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 4, dependent
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — day 42, dose 4, dependent
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 4, dependent
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 4, dependent
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech	No
2	2021-04-22	Pfizer-BioNTech	No
3	2021-12-13	Pfizer-BioNTech	No
4	2022-09-10	Pfizer-BioNTech	No

Free text

Release 10 — day 0, dose 3, dependent

2021-12-13

Systemic reaction (other): Dizziness/lightheaded

Release 10 — days 1–6 daily, dose 3, dependent

2021-12-14

Systemic reaction (other): Dizziness, wooziness, reflux

2021-12-15

Systemic reaction (other): Dizziness

Release 12 — day 0, dose 4, dependent

2022-09-10

Systemic reaction (other): Dizziness

Release 12 — days 1–6 daily, dose 4, dependent

2022-09-11

Systemic reaction (other): Restlessness, insomnia

2022-09-13

Systemic reaction (other): Feeling weak/woozy

Release 12 — day 14, dose 4, dependent

2022-09-24

Symptoms: Late period

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	Menstruation delayed	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Restlessness	·	·	✓

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