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375-24939-21069

4 vaccinations 17 coded responses 54 check-ins 17 free-text entries 4 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
802 / CO
Registered
2020-12-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
25M-28791-99192 Child or adolescent in my care · Female · 2022-06-22

Timeline

  1. 2020-12-22
    Registered in v-safe
  2. 2020-12-22
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2020-12-23
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2020-12-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Pain
    Free text: Bruising at site of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  9. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2020-12-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-01-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  14. 2021-01-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Arm pit pain on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-13
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  17. 2021-01-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain in arm pit on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  19. 2021-01-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Paraesthesia — Feeling: Fair · Fatigue or tiredness
    Free text: Pain in arm pit on side of injection. Tingling in hand on arm of injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-01-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-01-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-01-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  23. 2021-01-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-01-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-02-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-02-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-02-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-02-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-04-13
    Survey response — 3 months, dose 2
    MedDRA: Dizziness, Hypotension — Feeling: Fair
    Free text: Dizziness and low blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  30. 2021-07-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-10-01
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  32. 2021-10-01
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Lymph node swelling and pain in arm of injection
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lymph node pain and swelling in arm pit of arm of injection
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain
    Free text: Pain in arm pit lymph node on arm of injection
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Pain and swelling in arm pit lymph node of arm that got i jection
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  38. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  39. 2021-10-08
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  40. 2021-10-15
    Survey response — day 14, dose 3
    MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Daily moderate fatigue. Can go about daily activities but very exhausted and miss out on some activities due to fatigue
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-10-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-10-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-11-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-11-12
    Survey response — day 42, dose 3
    MedDRA: Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Good
    Free text: Extra heavy bleeding and prolonged cramps during menstrual cycle.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-01-02
    Survey response — 3 months, dose 3
    MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, runny nose, sneezing, congestion
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-09-24
    Dose 4 — Moderna
    Co-administered: Flu
  48. 2022-09-24
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  49. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  50. 2022-09-26
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Musculoskeletal discomfort — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Lymph node pain, neck discomfort on side of vaccine
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-09-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness, Hyperhidrosis, Syncope — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness
    Free text: Dizziness, faintness, sweats
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-09-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  54. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  55. 2022-10-01
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  56. 2022-10-08
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-10-15
    Survey response — day 21, dose 4
    MedDRA: Dizziness, Heart rate increased, Heavy menstrual bleeding, Iron deficiency anaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Iron deficiency anemia due to heavy menstrual blood loss, dizziness and light headed, high heart rate
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-10-15
    Report sent to call center — day 21, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  59. 2022-10-17
  60. 2022-10-22
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-10-29
    Survey response — day 35, dose 4
    MedDRA: Headache, Oropharyngeal pain — Feeling: Good
    Free text: Sore throat, headache
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-11-05
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  63. 2022-12-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  64. 2023-03-25
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Pfizer-BioNTech
22021-01-12Pfizer-BioNTech
32021-10-01Pfizer-BioNTech Flu
42022-09-24Moderna Flu

Call center

4 call center cases

1 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): Bruising at site of injection

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Arm pit pain on side of injection

2021-01-14

Systemic reaction (other): Pain in arm pit on side of injection

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Pain in arm pit on side of injection. Tingling in hand on arm of injection.

Release 7 — 3 months, dose 2

2021-04-13

Symptoms: Dizziness and low blood pressure

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Lymph node swelling and pain in arm of injection

2021-10-03

Systemic reaction (other): Lymph node pain and swelling in arm pit of arm of injection

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Pain in arm pit lymph node on arm of injection

2021-10-05

Systemic reaction (other): Pain and swelling in arm pit lymph node of arm that got i jection

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Daily moderate fatigue. Can go about daily activities but very exhausted and miss out on some activities due to fatigue

Release 10 — day 42, dose 3

2021-11-12

Symptoms: Extra heavy bleeding and prolonged cramps during menstrual cycle.

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Sore throat, runny nose, sneezing, congestion

Release 12 — days 1–6 daily, dose 4

2022-09-26

Systemic reaction (other): Lymph node pain, neck discomfort on side of vaccine

2022-09-27

Systemic reaction (other): Dizziness, faintness, sweats

2022-09-28

Systemic reaction (other): Dizziness

Release 12 — day 21, dose 4

2022-10-15

Symptoms: Iron deficiency anemia due to heavy menstrual blood loss, dizziness and light headed, high heart rate

Release 12 — day 35, dose 4

2022-10-29

Symptoms: Sore throat, headache

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
SDDizziness ✓ ✓ ✓
SDDysmenorrhoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDHeart rate increased · · ✓
SDHeavy menstrual bleeding · · ✓
SDHypotension ✓ ✓ ✓
SDIron deficiency anaemia · · ✓
SDLoss of personal independence in daily activities · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SROAxillary pain ✓ ✓ ✓
SRODizziness · · ✓
SROHyperhidrosis · · ✓
SROInjection site bruising ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROMusculoskeletal discomfort · · ✓
SROParaesthesia ✓ ✓ ✓
SROSyncope · · ✓

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