C3Q-61657-43232
3 vaccinations
2 coded responses
30 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 974 / OR
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
L4T-28431-46174
Child or adolescent in my care · Male · 2021-12-21
5L5-81993-74319
Child or adolescent in my care · Male · 2021-12-21
Timeline
-
2021-04-30
Dose 1 — Pfizer-BioNTech
-
2021-05-21
Registered in v-safe
-
2021-05-21
Dose 2 — Pfizer-BioNTech
- 2021-05-21
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-08-20
- 2021-11-19
-
2021-12-10
Dose 3 — Moderna
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
-
2021-12-17
Survey response — day 7, dose 3MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart palpitations but waiting on test results to see what it is.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-21
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-03-11
- 2022-06-10
-
2022-12-10
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Pfizer-BioNTech | |
| 2 | 2021-05-21 | Pfizer-BioNTech | |
| 3 | 2021-12-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-17 | Unsuccessful | |
| 2022-12-10 | Unsuccessful |
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): Heart palpitations but waiting on test results to see what it is.
Release 12 — 12 months, dose 3
Symptoms: Miscarriage
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 | Abortion spontaneous | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release