9UN-12292-37832
4 vaccinations
5 coded responses
43 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 480 / MI
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Pfizer-BioNTech
-
2021-04-03
Registered in v-safe
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Enostosis, Pain, Pain in extremity, Self-medication — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have existing L4 vertebrae bone island that started to be intensely painful today. It also caused shooting pain in legs. The pain subsided after two Tylernol pills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Oral discomfort, Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Two lesions of cold sores broke out on the lip since last night. · Healthcare visit (other): Refilled prescription of Valtrex for cold sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Gastroenteritis viral, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2021-11-21
Dose 3 — Moderna
- 2021-11-21
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes — Feeling: Fair · HeadacheFree text: Cold sore outbreak on upper lipMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
-
2022-02-20
Survey response — 3 months, dose 3MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I am pregnant.MedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-23
-
2022-09-09
Dose 4 — Moderna
- 2022-09-20
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-11-21 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have existing L4 vertebrae bone island that started to be intensely painful today. It also caused shooting pain in legs. The pain subsided after two Tylernol pills.
Systemic reaction (other): Two lesions of cold sores broke out on the lip since last night.
Healthcare visit (other): Refilled prescription of Valtrex for cold sore.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cold sore outbreak on upper lip
Release 11 — 3 months, dose 3
Symptoms: I am pregnant.
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 | Oral herpes | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Bone pain | · | · | ✓ |
| SRO | Enostosis | · | · | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ○ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release