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DRS-44010-40716

4 vaccinations 11 coded responses 30 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
231 / VA
Registered
2021-04-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
JUW-18310-38508 Child or adolescent in my care · Female · 2022-06-26

Timeline

  1. 2021-04-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-28
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-29
    Registered in v-safe
  4. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mild cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: Itching. I'm pretty sure this is unrelated as my unvaccinated daughter has it too, and it began prior to vaccine #2
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus, Unevaluable event — Feeling: Good
    Free text: Itchy, but our dog was just diagnosed with sarcoptic mange, which is transmissible to humans. Visiting the dermatologist in a few days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-05
    Survey response — day 7, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: Itchy skin; I believe this is unrelated, as my dog was recently diagnosed with sarcoptic mange, which is transmissible to humans. I meet with the dermatologist in a couple of days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-21
    Dose 3 — Pfizer-BioNTech
  18. 2022-04-28
    Survey response — 12 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school
    Free text: I have a cold but have tested negative for covid on a rapid test.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-09-16
    Dose 4 — Moderna
  21. 2022-09-16
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  24. 2022-09-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-09-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sore throat, cough
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-09-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat, cough
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-09-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough — Feeling: Fair · Fatigue or tiredness
    Free text: Coughing
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-09-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-09-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-10-07
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-10-28
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-12-16
    Survey response — 3 months, dose 4
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  35. 2023-03-17
    Survey response — 6 months, dose 4
    MedDRA: Pregnancy — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Pfizer-BioNTech
22021-04-28Pfizer-BioNTech
32021-11-21Pfizer-BioNTech No
42022-09-16Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Mild cough

2021-05-03

Systemic reaction (other): Itching. I'm pretty sure this is unrelated as my unvaccinated daughter has it too, and it began prior to vaccine #2

2021-05-04

Systemic reaction (other): Itchy, but our dog was just diagnosed with sarcoptic mange, which is transmissible to humans. Visiting the dermatologist in a few days

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Itchy skin; I believe this is unrelated, as my dog was recently diagnosed with sarcoptic mange, which is transmissible to humans. I meet with the dermatologist in a couple of days

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: I have a cold but have tested negative for covid on a rapid test.

Release 12 — days 1–6 daily, dose 4

2022-09-19

Systemic reaction (other): Sore throat

2022-09-20

Systemic reaction (other): Sore throat, cough

2022-09-21

Systemic reaction (other): Sore throat, cough

2022-09-22

Systemic reaction (other): Coughing

Release 12 — 3 months, dose 4

2022-12-16

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
SDNasopharyngitis · · ✓
SDPregnancy · · ✓
SDSARS-CoV-2 test negative · · ✓
SROCough ✓ ✓ ✓
SROOropharyngeal pain · · ✓
SROPruritus ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

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