FDV-23806-32585
5 vaccinations
17 coded responses
58 check-ins
16 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 465 / IN
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CW2-40959-55349
Child or adolescent in my care · Female · 2022-06-29
Timeline
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2021-04-03
Registered in v-safe
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2021-04-03
Dose 1 — Pfizer-BioNTech
- 2021-04-03
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-17
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2021-04-24
Dose 2 — Pfizer-BioNTech
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Respiratory tract congestion — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizziness, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
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2021-05-08
Survey response — day 14, dose 2MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea and nausea for several days this week (doubt it's related to vaccine but who knows)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-25
- 2021-06-05
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2021-07-24
Survey response — 3 months, dose 2MedDRA: Nausea, Pre-existing disease, Vertigo — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausea and increased vertigoMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-23
Survey response — 6 months, dose 2MedDRA: Nausea, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Frequent nausea and vertigoMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-08
Dose 3 — Moderna
- 2021-11-08
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Abdominal painAdult check-in
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2021-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Flushing, Hyperhidrosis — Feeling: GoodFree text: Feeling a little flushed and sweatyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-12
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Menstruation delayed — Feeling: GoodFree text: Period is late (not pregnant)MedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-11-16
Health check-in — day 7, dose 3Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-22
Survey response — day 14, dose 3MedDRA: Fatigue, Nasopharyngitis, Pyrexia — Feeling: GoodFree text: Had a brief cold (?) With a low grade fever and fatigue for a couple daysMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 21, dose 3MedDRA: Diarrhoea, Fatigue, Headache, Nasopharyngitis, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Have another cold- sneezing, congestion, fatigue, diarrhea, headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-13
- 2021-12-20
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2022-02-07
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
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2022-06-30
Dose 4 — Pfizer-BioNTech
- 2022-06-30
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2022-07-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-07-02
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Fair · Chills, Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
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2022-07-04
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Fair · Fatigue or tiredness, DiarrheaFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-07-05
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-07-06
- 2022-07-07
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2022-07-14
Survey response — day 14, dose 4MedDRA: Adverse reaction, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: Allergy like symptoms and sore throat (negative Covid test)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-23
- 2022-07-30
- 2022-08-04
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2022-09-12
Dose 5 — Pfizer-BioNTech
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2022-09-12
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-13
Survey response — days 1–6 daily, dose 5MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-14
- 2022-09-17
- 2022-09-20
- 2022-09-26
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2022-10-19
Survey response — day 35, dose 5MedDRA: Dizziness, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache and dizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-20
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2023-03-13
Survey response — 6 months, dose 5MedDRA: Endometriosis, Nasopharyngitis, Pharyngitis streptococcal, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-13
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-14
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-06-30 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, congestion
Release 8 — day 14, dose 2
Symptoms: Diarrhea and nausea for several days this week (doubt it's related to vaccine but who knows)
Release 9 — 3 months, dose 2
Symptoms: Nausea and increased vertigo
Release 10 — 6 months, dose 2
Symptoms: Frequent nausea and vertigo
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feeling a little flushed and sweaty
Systemic reaction (other): Period is late (not pregnant)
Release 10 — day 14, dose 3
Symptoms: Had a brief cold (?) With a low grade fever and fatigue for a couple days
Release 10 — day 21, dose 3
Symptoms: Have another cold- sneezing, congestion, fatigue, diarrhea, headache
Release 11 — 3 months, dose 3
Symptoms: I got Covid
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Dizziness
Release 12 — day 14, dose 4
Symptoms: Allergy like symptoms and sore throat (negative Covid test)
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Congestion
Release 12 — day 35, dose 5
Symptoms: Headache and dizziness
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 | Adverse reaction | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Endometriosis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Menstruation delayed | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release