E58-33068-23951
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 840 / UT
- Registered
- 2021-12-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
398-32926-57661
Child or adolescent in my care · Female · 2022-07-09
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-02-13
Dose 2 — Moderna
-
2021-12-11
Dose 3 — Pfizer-BioNTech
-
2021-12-13
Registered in v-safe
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Under armpit is swollen and painful (same side as injection site)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · Headache, DiarrheaFree text: Swelling and pain in armpit (mild)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-16
- 2021-12-18
- 2021-12-25
- 2022-01-01
-
2022-01-08
Survey response — day 28, dose 3MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid symptoms: cough, sore throat, headache, body aches, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
- 2022-01-22
- 2022-03-12
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2022-06-11
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Miscarriage (don't know if it's related, but thought it was important to share)MedDRA releases: 2024-11 · check-in free text available
-
2022-06-11
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-06-13
-
2022-09-25
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-28
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Dizzy (comes and goes)MedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body achesAdult check-in
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2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-01
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-25
- 2022-10-30
- 2022-11-06
- 2022-12-25
- 2023-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | No |
| 2 | 2021-02-13 | Moderna | No |
| 3 | 2021-12-11 | Pfizer-BioNTech | No |
| 4 | 2022-09-25 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-11 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Under armpit is swollen and painful (same side as injection site)
Systemic reaction (other): Swelling and pain in armpit (mild)
Release 10 — day 28, dose 3
Symptoms: Covid symptoms: cough, sore throat, headache, body aches, fatigue
Release 12 — 6 months, dose 3
Symptoms: Miscarriage (don't know if it's related, but thought it was important to share)
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Dizzy (comes and goes)
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 | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release