BLD-12986-88382

4 vaccinations 5 coded responses 40 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 223 / VA
Registered: 2021-04-20

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

Registered dependents

W7L-41152-99462 Child or adolescent in my care · Female · 2022-07-22

PLC-78192-84389 Child or adolescent in my care · Female · 2022-07-22

SGJ-26065-18683 Child or adolescent in my care · Male · 2022-08-10

Timeline

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

2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-20
Registered in v-safe
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cough, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Good · Headache

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-10
Survey response — 12 months, dose 2
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-11
Call 1 — Left Voicemail
2022-05-11
Call successful
Not applicable - Accidental Reporting
2022-07-22
Dose 3 — Moderna
2022-07-22
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-08-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-08-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-26
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-09-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-28
Dose 4 — Moderna
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-16
Survey response — day 14, dose 4
MedDRA: Diarrhoea, Nausea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, diarrhea, nausea

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-29
Survey response — 3 months, dose 4
MedDRA: Hypertension — Feeling: Good

Free text: High blood pressure

MedDRA releases: 2024-11 · check-in free text available
2023-03-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2022-07-22	Moderna	No
4	2022-09-28	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Cough, congestion

2021-05-12

Systemic reaction (other): Congestion

Release 11 — 12 months, dose 2

2022-05-10

Symptoms: Pregnancy

Release 12 — day 14, dose 4

2022-10-16

Symptoms: Fever, diarrhea, nausea

Release 12 — 3 months, dose 4

2022-12-29

Symptoms: High blood pressure

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	Diarrhoea	·	·	✓
SD	Hypertension	·	·	✓
SD	Nausea	·	·	✓
SD	Pregnancy	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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