6U3-30700-66210

4 vaccinations 13 coded responses 30 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 865 / AZ
Registered: 2020-12-17

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

Registered dependents

ERK-16107-68882 Child or adolescent in my care · Male · 2021-11-05

QHX-27120-01924 Child or adolescent in my care · Male · 2021-11-05

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2020-12-17
Registered in v-safe
2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-17
Survey response — day 0, dose 1
MedDRA: Glossitis, Throat irritation — Feeling: Good · Site: Pain · Joint pains

Free text: Slight irritation in my throat and tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Joint pains

Free text: Metallic taste in my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Throat irritation — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Metallic taste in mouth, throat irritation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain, Swelling

Free text: Metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — day 14, dose 1
MedDRA: Back pain, Dysgeusia, Fatigue, Gastrooesophageal reflux disease, Paraesthesia, Throat irritation, Upper-airway cough syndrome — Feeling: Fair

Free text: Persistent and worsening metallic taste in my mouth, gastroesophageal reflux, throat irritation, post nasal drip, tiredness, lower back ache. Temporary paresthesia over bilateral face (lasted one day).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Dose 2 — Pfizer-BioNTech
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good · Site: Pain · Headache

Free text: Frontal sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Sinus pressure, post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort, Upper-airway cough syndrome — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus pressure, post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — day 7, dose 2
MedDRA: Paranasal sinus discomfort, Upper-airway cough syndrome — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus pressure; post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair

Free text: GERD

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-27
Dose 4 — Moderna
Co-administered: Flu
2022-10-15
Survey response — day 14, dose 4
MedDRA: Menstruation irregular, Uterine spasm — Feeling: Fair

Free text: Uterine cramping started one day after receiving the booster dose and then menses started 1 week later (which is 2 weeks early)

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-01
Survey response — day 35, dose 4
MedDRA: Fatigue, Upper-airway cough syndrome — Feeling: Fair

Free text: Tired, post nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Survey response — day 42, dose 4
MedDRA: Fatigue, Nasal congestion, Upper-airway cough syndrome — Feeling: Good

Free text: Nasal congestion, post nasal drip, tired

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-05	Pfizer-BioNTech
3	2021-11-01	Moderna	No
4	2022-09-27	Moderna	Flu

Free text

Release 1 — day 0, dose 1

2020-12-17

Systemic reaction (other): Slight irritation in my throat and tongue

Release 1 — days 1–6 daily, dose 1

2020-12-18

Systemic reaction (other): Metallic taste in my mouth

2020-12-19

Systemic reaction (other): Metallic taste in mouth, throat irritation

2020-12-20

Systemic reaction (other): Metallic taste in mouth

Release 1 — day 14, dose 1

2020-12-31

Symptoms: Persistent and worsening metallic taste in my mouth, gastroesophageal reflux, throat irritation, post nasal drip, tiredness, lower back ache. Temporary paresthesia over bilateral face (lasted one day).

Release 1 — days 1–6 daily, dose 2

2021-01-09

Systemic reaction (other): Frontal sinus pressure

2021-01-10

Systemic reaction (other): Sinus pressure, post nasal drip

2021-01-11

Systemic reaction (other): Sinus pressure, post nasal drip

Release 1 — day 7, dose 2

2021-01-12

Systemic reaction (other): Sinus pressure; post nasal drip

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: GERD

Release 12 — day 14, dose 4

2022-10-15

Symptoms: Uterine cramping started one day after receiving the booster dose and then menses started 1 week later (which is 2 weeks early)

Release 12 — day 35, dose 4

2022-11-01

Symptoms: Tired, post nasal drip

Release 12 — day 42, dose 4

2022-11-08

Symptoms: Nasal congestion, post nasal drip, tired

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	Back pain	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Uterine spasm	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Glossitis	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rhinorrhoea	○	○	○
SRO	Throat irritation	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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