GLS-31308-72595

3 vaccinations 1 coded response 4 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 984 / WA
Registered: 2021-07-02

Relationship: Self
Race: N/A
Ethnicity: N/A

Registered dependents

5BU-10034-53869 Child or adolescent in my care · Male · 2021-10-15

9GX-10159-33423 Adult relative or friend · Male · 2021-10-15

QBF-26098-36419 Adult relative or friend · Female · 2021-10-15

6LA-14586-79782 Adult relative or friend · Male · 2021-10-15

UH4-30345-97257 Child or adolescent in my care · Female · 2021-10-15

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-01
Dose 1 — Pfizer-BioNTech
2021-07-02
Registered in v-safe
2021-07-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-07-23
Dose 2 — Pfizer-BioNTech
2021-08-27
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-09-03
Survey response — day 42, dose 2
MedDRA: Dizziness, Headache, Nausea — Feeling: Fair · Be unable to work or attend school

Free text: I was nauseated for couple days, light head , with head ach.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-04
Dose 3 — Pfizer-BioNTech
2021-11-12
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-01	Pfizer-BioNTech	No
2	2021-07-23	Pfizer-BioNTech	No
3	2021-11-04	Pfizer-BioNTech	No

Free text

Release 9 — day 42, dose 2

2021-09-03

Symptoms: I was nauseated for couple days, light head , with head ach.

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	Dizziness	✓	·	✓
SD	Headache	✓	·	✓
SD	Nausea	✓	·	✓

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