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5MX-17071-30366

4 vaccinations 2 coded responses 20 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
926 / CA
Registered
2021-10-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
GD9-95259-85204 Child or adolescent in my care · Male · 2022-06-26

Timeline

  1. 2020-12-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-19
    Dose 3 — Pfizer-BioNTech
  4. 2021-10-20
    Registered in v-safe
  5. 2021-10-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-10-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache
    Adult check-in
  7. 2021-10-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  8. 2021-10-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-10-26
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-11-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-11-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-18
    Survey response — 3 months, dose 3
    MedDRA: Cough, Pregnancy, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school
    Free text: Deep cough (I think from walking in cold nightly), fatigue and malaise (probably pregnancy related). I did take a covid PCR test, and it was negative thankfully. I have not been socializing to avoid covid.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-04-21
    Survey response — 6 months, dose 3
    MedDRA: Caesarean section, Pre-eclampsia, Premature delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Preeclampsia. Had to have baby ~3wks early via c-section to cure it.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-21
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  20. 2022-04-22
  21. 2022-04-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  22. 2022-09-21
    Dose 4 — Pfizer-BioNTech
  23. 2022-10-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-10-19
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  25. 2022-10-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-11-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-12-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  28. 2023-03-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Pfizer-BioNTech No
22021-01-12Pfizer-BioNTech No
32021-10-19Pfizer-BioNTech No
42022-09-21Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-04-21 Successful
2022-04-27
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 10 — 3 months, dose 3

2022-01-18

Symptoms: Deep cough (I think from walking in cold nightly), fatigue and malaise (probably pregnancy related). I did take a covid PCR test, and it was negative thankfully. I have not been socializing to avoid covid.

Release 11 — 6 months, dose 3

2022-04-21

Symptoms: Preeclampsia. Had to have baby ~3wks early via c-section to cure it.

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
SDCaesarean section · · ✓
SDCough · · ✓
SDPre-eclampsia · · ✓
SDPregnancy · · ✓
SDPremature delivery · · ✓
SDSARS-CoV-2 test negative · · ✓

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

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