3D6-12223-40726

4 vaccinations 1 coded response 52 check-ins 2 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-03-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

LKQ-20239-58437 Child or adolescent in my care · Male · 2022-06-22

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-05
Health check-in — 0 day, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — 0 day, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-03
Health check-in — 7 day, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-10
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-14
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-17
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — 7 day, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Pfizer-BioNTech
2022-09-23
Health check-in — 0 day, dose 4
Feeling: Good · None

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Headache

Adult check-in
2022-09-30
Health check-in — 7 day, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-11
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 3 month, dose 4
Feeling: Good · Be unable to do your normal daily activities

Adult check-in
2023-03-26
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No
4	2022-09-23	Pfizer-BioNTech	No

Free text

Release 6

Systemic reaction (other): Fogginess

Release 12

Symptoms: Cough, congestion, headache

Free-text releases are not linked to a specific 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	Feeling abnormal	✓	✓	✓

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