GCJ-15084-78296
4 vaccinations
8 coded responses
54 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 799 / TX
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
RFT-31144-02511
Child or adolescent in my care · Female · 2022-06-22
Timeline
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2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Pfizer-BioNTech
- 2021-03-12
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Pfizer-BioNTech
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sweating profusely as if a fever has broken when I didn't have a feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding, Headache, Pain — Feeling: GoodFree text: My 2 yr 7 mo old daughter is breastfed and she experienced a headache, body aches and a sligtht fever of 99.7°FMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Maternal exposure during breast feeding — Feeling: GoodFree text: My 2 yr 7 mo old daughter is breastfed and was very fussy yesterday and she complained of a headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-05-14
- 2021-07-04
-
2021-10-01
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Diarrhea and vomiting that lasted 24 hoursMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Dose 3 — Moderna
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-12
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2022-01-29
Survey response — 3 months, dose 3MedDRA: Office visit, Sinus congestion — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus congestion · Healthcare visit (other): In person Clinic visitMedDRA releases: 2024-11 · check-in free text available
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2022-01-29
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-31
Call successfulCompleted over the phone
- 2022-04-30
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2022-09-26
Dose 4 — ModernaCo-administered: Flu
- 2022-09-26
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2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-28
- 2022-09-29
- 2022-09-30
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2022-10-01
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: I have been forgetting to put it but I am currently 29 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-09
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2022-12-26
Survey response — 3 months, dose 4MedDRA: Delivery, Perinatal depression — Feeling: Good · Be unable to do your normal daily activitiesFree text: Gave birth -- post partum depressionMedDRA releases: 2024-11 · check-in free text available
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2023-03-27
Survey response — 6 months, dose 4MedDRA: Perinatal depression — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-26 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating profusely as if a fever has broken when I didn't have a fever
Systemic reaction (other): My 2 yr 7 mo old daughter is breastfed and she experienced a headache, body aches and a sligtht fever of 99.7°F
Systemic reaction (other): My 2 yr 7 mo old daughter is breastfed and was very fussy yesterday and she complained of a headache
Release 9 — 6 months, dose 2
Symptoms: Diarrhea and vomiting that lasted 24 hours
Release 11 — 3 months, dose 3
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I have been forgetting to put it but I am currently 29 weeks pregnant
Release 12 — 3 months, dose 4
Symptoms: Gave birth -- post partum depression
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Perinatal depression | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Maternal exposure during breast feeding | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release