7CA-12944-14627
5 vaccinations
13 coded responses
46 check-ins
12 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 775 / TX
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AJ4-77471-24886
Child or adolescent in my care · Male · 2022-12-16
NP9-22684-41878
Child or adolescent in my care · Female · 2022-12-22
WG7-29381-02081
Child or adolescent in my care · Male · 2023-03-22
Timeline
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2021-02-05
Dose 1 — Pfizer-BioNTech
-
2021-02-20
Registered in v-safe
- 2021-02-20
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2021-02-26
Dose 2 — Pfizer-BioNTech
- 2021-02-27
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Myalgia — Feeling: Good · Site: PainFree text: Yesterday, after I filled this out, I noticed mild fatigue, and some sore muscles. Muscle soreness could have been from exercise the previous day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-05
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2021-03-12
Survey response — day 14, dose 2MedDRA: Visual impairment — Feeling: GoodFree text: I noticed my near vision is not normal. Its not bad, but not normal. Ive never worn glasses or had vision issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
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2021-11-05
Dose 3 — Pfizer-BioNTech
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2021-11-05
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: 12 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pregnancy — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: The headache could be from pregnancy.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: Got the baby's heartbeat on the fetal doppler today.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-11
- 2021-11-12
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2021-11-19
Survey response — day 14, dose 3MedDRA: Discharge, Nasal discomfort, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, mild drainage, burning nasal passage when trying to breathe to sleep. Both my kids have strep throat, but I tested negative.MedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-23
Call successfulNot applicable - Accidental Reporting
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
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2022-02-04
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Office visit, Pharyngitis streptococcal — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Strep throat in November. Currently getting over a very mild cold. My kids tested negative multiple times on binax, so I've not tested myself as likelihood is low. · Healthcare visit (other): Pcp visit for strep swab in November.MedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-08
Call successfulNot applicable - Accidental Reporting
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2022-04-05
Dose 4 — Moderna
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2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Good · Site: PainFree text: 33 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-12
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2022-04-19
Survey response — day 14, dose 4MedDRA: Cough, Nasopharyngitis, Pregnancy, Respiratory tract congestion, Respiratory tract irritation, Secretion discharge — Feeling: Fair · Be unable to work or attend schoolFree text: Mild cold starting 4/14/22. Felt better by 4/16, but chest congestion set in & cough has been intense. Mucus irritation is only thing causing the cough. Expectorant doesn't help. 35 weeks pregnant, afraid cough will start labor. Negative binax test.MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — day 21, dose 4MedDRA: Pregnancy, Productive cough, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough to clear congestion got so bad I was afraid I would go into early labor. Finally started clearing 4/23/22MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-10
- 2022-05-17
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2022-07-05
Survey response — 3 months, dose 4MedDRA: Delivery, Malaise — Feeling: Fair · Be unable to work or attend schoolFree text: Had the baby. Been sick a few times. Currently sick.MedDRA releases: 2024-11 · check-in free text available
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2022-09-15
Dose 5 — Pfizer-BioNTech
- 2022-10-04
- 2022-10-04
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
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2022-12-15
Survey response — 3 months, dose 5MedDRA: Pharyngitis streptococcal — 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 · Outpatient clinic or urgent care clinic visitFree text: Strep throat twice.MedDRA releases: 2024-11 · check-in free text available
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2022-12-15
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-16
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2022-12-16
Call successfulNot applicable - Accidental Reporting
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2023-03-16
Survey response — 6 months, dose 5MedDRA: Influenza, Pharyngitis streptococcal — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-16
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-19 | Successful 2021-11-23 |
Not applicable - Accidental Reporting |
| 2022-02-04 | Successful 2022-02-08 |
Not applicable - Accidental Reporting |
| 2022-12-15 | Successful 2022-12-16 |
Not applicable - Accidental Reporting |
| 2023-03-16 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday, after I filled this out, I noticed mild fatigue, and some sore muscles. Muscle soreness could have been from exercise the previous day.
Release 5 — day 14, dose 2
Symptoms: I noticed my near vision is not normal. Its not bad, but not normal. Ive never worn glasses or had vision issues.
Release 10 — day 0, dose 3
Systemic reaction (other): 12 weeks pregnant
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The headache could be from pregnancy.
Systemic reaction (other): Got the baby's heartbeat on the fetal doppler today.
Release 10 — day 14, dose 3
Symptoms: Sore throat, mild drainage, burning nasal passage when trying to breathe to sleep. Both my kids have strep throat, but I tested negative.
Release 11 — 3 months, dose 3
Symptoms: Strep throat in November. Currently getting over a very mild cold. My kids tested negative multiple times on binax, so I've not tested myself as likelihood is low.
Healthcare visit (other): Pcp visit for strep swab in November.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): 33 weeks pregnant
Release 11 — day 14, dose 4
Symptoms: Mild cold starting 4/14/22. Felt better by 4/16, but chest congestion set in & cough has been intense. Mucus irritation is only thing causing the cough. Expectorant doesn't help. 35 weeks pregnant, afraid cough will start labor. Negative binax test. cut off by CDC
Release 11 — day 21, dose 4
Symptoms: Cough to clear congestion got so bad I was afraid I would go into early labor. Finally started clearing 4/23/22
Release 12 — 3 months, dose 4
Symptoms: Had the baby. Been sick a few times. Currently sick.
Release 12 — 3 months, dose 5
Symptoms: Strep throat twice.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract irritation | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release