4TU-32250-21804

3 vaccinations 5 coded responses 39 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 972 / OR
Registered: 2021-04-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

5YM-16581-59020 Child or adolescent in my care · Male · 2021-12-10

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-18
Registered in v-safe
2021-04-18
Dose 1 — Pfizer-BioNTech
2021-04-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-10
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Loss of consciousness, Pregnancy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Be unable to work

Free text: Extreme sudden dizziness, almost passed out (this is not normal for me, has only happened a few times during pregnancy)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — day 28, dose 2
MedDRA: Pre-existing disease, Urticaria — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Broke out in hives 6/1 for unknown reason. I get them every few years and have never figured out the trigger, so likely unrelated to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2021-12-10
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Good · Site: Pain

Free text: Constipation - no BM yesterday and I'm vegan so very regular with BMs

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Good

Free text: Constipation - did not have my regular morning BM

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-12
Survey response — 6 months, dose 3
MedDRA: Headache, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Intense headache, some body ache

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Pfizer-BioNTech
2	2021-05-10	Pfizer-BioNTech
3	2021-12-10	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Extreme sudden dizziness, almost passed out (this is not normal for me, has only happened a few times during pregnancy)

Release 8 — day 28, dose 2

2021-06-07

Symptoms: Broke out in hives 6/1 for unknown reason. I get them every few years and have never figured out the trigger, so likely unrelated to the vaccine.

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): Constipation - no BM yesterday and I'm vegan so very regular with BMs

2021-12-14

Systemic reaction (other): Constipation - did not have my regular morning BM

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: Intense headache, some body ache

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	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Pregnancy	✓	✓	✓

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