JF2-21032-05588
4 vaccinations
13 coded responses
49 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 021 / MA
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HM4-80701-31097
Child or adolescent in my care · Male · 2022-06-30
Timeline
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2021-04-19
Registered in v-safe
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2021-04-19
Dose 1 — Pfizer-BioNTech
- 2021-04-19
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2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Flatulence — Feeling: Good · Abdominal painFree text: GassyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
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2021-05-03
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Flatulence — Feeling: GoodFree text: Feeling really gassy and bad stomach pain over the past weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Dose 2 — Pfizer-BioNTech
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2021-05-10
Survey response — day 21, dose 1MedDRA: Menstruation irregular — Feeling: GoodFree text: My usually consistent period is at least a week late and there is no way that I am pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 0, dose 2MedDRA: Menstruation delayed — Feeling: Good · Fever · Headache, Fatigue or tirednessFree text: Period 1 week lateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation delayed — Feeling: Good · Site: Pain · Abdominal painFree text: Menstrual cycle is 8 days late. I have not gotten my period since getting my 1st vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Vaginal haemorrhage — Feeling: GoodFree text: Vaginal spottingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation delayed, Vaginal haemorrhage — Feeling: GoodFree text: Vaginal spotting. Period is 10 days late.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: Menstrual period started today after being 11 days late.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-16
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-16
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2021-06-21
Survey response — day 42, dose 2MedDRA: Paraesthesia oral — Feeling: GoodFree text: Tingling tongue for 5 days last week. Not sure if it is a B12 vitamin deficiency or because of the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-09
- 2021-11-09
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2021-11-10
Dose 3 — Moderna
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2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-12
- 2021-11-13
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: FairFree text: Low back painMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: GoodFree text: Low back painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-24
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2021-12-01
Survey response — day 21, dose 3MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very bad lower back painMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-15
- 2021-12-22
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2022-02-09
Survey response — 3 months, dose 3MedDRA: COVID-19, Exposure to SARS-CoV-2 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am boosted with mrna vaccines. I wear an N95 with a cloth mask when indoors. My family spent Christmas with one boosted family member who wore a mask in public. My 21 month old, who never goes anywhere, got covid and gave it to me. CDC screwed up.MedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-11
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2022-02-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-11
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2022-09-30
Dose 4 — Pfizer-BioNTech
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Pfizer-BioNTech | |
| 2 | 2021-05-10 | Pfizer-BioNTech | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Gassy
Release 8 — day 14, dose 1
Symptoms: Feeling really gassy and bad stomach pain over the past week
Release 8 — day 21, dose 1
Symptoms: My usually consistent period is at least a week late and there is no way that I am pregnant.
Release 8 — day 0, dose 2
Systemic reaction (other): Period 1 week late
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Menstrual cycle is 8 days late. I have not gotten my period since getting my 1st vaccine.
Systemic reaction (other): Vaginal spotting
Systemic reaction (other): Vaginal spotting. Period is 10 days late.
Systemic reaction (other): Menstrual period started today after being 11 days late.
Release 9 — day 42, dose 2
Symptoms: Tingling tongue for 5 days last week. Not sure if it is a B12 vitamin deficiency or because of the vaccine.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Low back pain
Systemic reaction (other): Low back pain
Release 10 — day 21, dose 3
Symptoms: Very bad lower back pain
Release 11 — 3 months, dose 3
Symptoms: I am boosted with mrna vaccines. I wear an N95 with a cloth mask when indoors. My family spent Christmas with one boosted family member who wore a mask in public. My 21 month old, who never goes anywhere, got covid and gave it to me. CDC screwed up. cut off by CDC
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Menstruation delayed | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release