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CCJ-31116-47428

3 vaccinations 5 coded responses 20 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
209 / MD
Registered
2021-04-03
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
N/A

Timeline

  1. 2021-03-29
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-03
    Registered in v-safe
  3. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache, Nausea, Diarrhea
    Adult check-in
  4. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  5. 2021-04-05
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Itching · Diarrhea, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-04-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-23
    Dose 2 — Pfizer-BioNTech
  8. 2021-04-23
    Health check-in — day 0, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea
    Free text: Loose stools
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea
    Adult check-in
  12. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog — Feeling: Poor · Site: Itching · Chills, Headache, Muscle or body aches, Nausea, Diarrhea
    Free text: Fogginess/cloudy head
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Nausea
    Adult check-in
  14. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-15
    Survey response — day 21, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Persistent diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-24
    Survey response — 3 months, dose 2
    MedDRA: Cardiac murmur — Feeling: Good
    Free text: Heart murmur
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2022-01-06
    Dose 3 — Moderna
  23. 2022-04-23
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-07-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Pfizer-BioNTech
22021-04-23Pfizer-BioNTech
32022-01-06Moderna No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Loose stools

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Fogginess/cloudy head

Release 8 — day 21, dose 2

2021-05-15

Symptoms: Persistent diarrhea

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Heart murmur

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Pregnancy

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

FieldPreferred term2021-092023-042024-11
SDCardiac murmur ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDPregnancy · · ✓
SROBrain fog ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓

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