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HHF-10552-48378

4 vaccinations 4 coded responses 31 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
782 / TX
Registered
2020-12-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
2TD-31448-45289 Child or adolescent in my care · Female · 2022-06-22

Timeline

  1. 2020-12-19
    Registered in v-safe
  2. 2020-12-19
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-01-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-01-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-07
    Dose 3 — Pfizer-BioNTech
  17. 2021-09-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-10-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-10-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-10-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-03-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-09-07
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-09-12
    Dose 4 — Moderna
    Co-administered: Flu
  25. 2022-09-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  26. 2022-09-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Glossodynia, Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat and tongue
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-09-19
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-09-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-10
    Survey response — day 28, dose 4
    MedDRA: Palpitations, Supraventricular extrasystoles, Ventricular extrasystoles — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Palpitations/ectopic Premature atrial complexes, premature ventricular complexes
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-10-10
    Report sent to call center — day 28, dose 4
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  34. 2022-10-11
  35. 2022-10-17
    Survey response — day 35, dose 4
    MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Continued palpitations
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-10-17
    Report sent to call center — day 35, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  37. 2022-10-18
  38. 2022-10-18
  39. 2022-10-18
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  40. 2022-10-18
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  41. 2022-10-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-12-12
    Survey response — 3 months, dose 4
    MedDRA: Supraventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: PACs
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-12-12
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  44. 2022-12-13
  45. 2023-03-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-19Pfizer-BioNTech
22021-01-08Pfizer-BioNTech
32021-09-07Pfizer-BioNTech No
42022-09-12Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-10-10 Successful
2022-10-18
Reported to VAERS voluntarily prior to GDIT contact
2022-10-17 Successful
2022-10-18
Reported to VAERS voluntarily prior to GDIT contact
2022-12-12 Unsuccessful

Free text

Release 12 — days 1–6 daily, dose 4

2022-09-16

Systemic reaction (other): Sore throat and tongue

Release 12 — day 28, dose 4

2022-10-10

Symptoms: Palpitations/ectopic Premature atrial complexes, premature ventricular complexes

Release 12 — day 35, dose 4

2022-10-17

Symptoms: Continued palpitations

Release 12 — 3 months, dose 4

2022-12-12

Symptoms: PACs

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

FieldPreferred term2021-092023-042024-11
SDPalpitations · · ✓
SDSupraventricular extrasystoles · · ✓
SDVentricular extrasystoles · · ✓
SROGlossodynia · · ✓
SROOropharyngeal pain · · ✓

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