FZR-11296-59843
4 vaccinations
12 coded responses
42 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 280 / NC
- Registered
- 2021-06-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
9E9-26084-82779
Child or adolescent in my care · Male · 2022-06-22
MQL-13664-12379
Child or adolescent in my care · Male · 2022-06-22
Timeline
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2021-06-24
Dose 1 — Pfizer-BioNTech
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2021-06-25
Registered in v-safe
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2021-06-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
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2021-06-26
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Tiredness and nausea associated with pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-27
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are from pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-28
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are from pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-29
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are from pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are from pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are from pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-08
-
2021-07-15
Dose 2 — Pfizer-BioNTech
- 2021-07-15
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2021-07-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-07-19
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are likely from pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-07-20
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are from pregnancyMedDRA releases: 2024-11 · check-in free text available
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2021-07-22
Survey response — day 7, dose 2MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Symptoms are from pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2021-07-29
- 2021-08-05
- 2021-08-12
- 2021-08-19
- 2021-08-26
- 2021-10-14
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2022-01-13
Dose 3 — Pfizer-BioNTech
- 2022-01-13
- 2022-01-13
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2022-01-16
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Good · Site: PainFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
- 2022-01-17
- 2022-01-18
- 2022-01-21
- 2022-01-27
- 2022-02-03
- 2022-02-10
- 2022-02-17
- 2022-07-14
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2022-11-26
Dose 4 — Moderna
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2022-11-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-11-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-11-29
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Lymph node pain, Noninfective gingivitis — Feeling: Good · Site: Pain · HeadacheFree text: cough, tender axillary lymph node, inflamed gumsMedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Lymph node pain — Feeling: Good · Site: PainFree text: Cough, tender axillary lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2022-12-25
- 2023-01-01
- 2023-01-07
- 2023-02-27
- 2023-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-24 | Pfizer-BioNTech | No |
| 2 | 2021-07-15 | Pfizer-BioNTech | No |
| 3 | 2022-01-13 | Pfizer-BioNTech | No |
| 4 | 2022-11-26 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Tiredness and nausea associated with pregnancy
Systemic reaction (other): Symptoms are from pregnancy
Systemic reaction (other): Symptoms are from pregnancy
Systemic reaction (other): Symptoms are from pregnancy
Systemic reaction (other): Symptoms are from pregnancy
Release 9 — day 7, dose 1
Systemic reaction (other): Symptoms are from pregnancy
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Symptoms are likely from pregnancy
Systemic reaction (other): Symptoms are from pregnancy
Release 9 — day 7, dose 2
Systemic reaction (other): Symptoms are from pregnancy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): cough, tender axillary lymph node, inflamed gums
Systemic reaction (other): Cough, tender axillary lymph node
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 |
|---|---|---|---|---|
| SRO | Chest pain | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Noninfective gingivitis | · | · | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release