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LZ3-19588-08510

4 vaccinations 6 coded responses 32 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
602 / IL
Registered
2020-12-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
JFJ-27208-39732 Child or adolescent in my care · Male · 2022-10-05

Timeline

  1. 2020-12-21
    Registered in v-safe
  2. 2020-12-21
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-21
    Survey response — day 0, dose 1
    MedDRA: Dysgeusia — Feeling: Good · Site: Pain
    Free text: Metallic taste in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2020-12-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-11
    Dose 2 — Pfizer-BioNTech
  8. 2021-01-11
    Survey response — day 0, dose 2
    MedDRA: Dysgeusia — Feeling: Good · Site: Pain
    Free text: Metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness
    Adult check-in
  10. 2021-01-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-01-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-24
    Survey response — day 42, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pregnancy Miscarriage. Conceived after second dose. Miscarriage at 6 weeks ega
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-24
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-03-13
  19. 2021-04-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-12
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous, Pregnancy — Feeling: Good
    Free text: New pregnancy, intentional. I had an early miscarriage just after my second dose in Jan/Feb
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-10-04
    Dose 3 — Pfizer-BioNTech
  22. 2021-10-04
    Survey response — day 0, dose 3
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Metallic taste in mouth
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  24. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-10-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Good
    Free text: Pain in axilla of arm of injection
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Diarrhea
    Adult check-in
  29. 2021-10-11
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  30. 2021-10-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-10-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-04-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-09-26
    Dose 4 — Pfizer-BioNTech
  37. 2022-10-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-10-05
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  39. 2022-10-12
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Pfizer-BioNTech
22021-01-11Pfizer-BioNTech
32021-10-04Pfizer-BioNTech No
42022-09-26Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-02-24 Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-21

Systemic reaction (other): Metallic taste in mouth

Release 1 — day 0, dose 2

2021-01-11

Systemic reaction (other): Metallic taste in my mouth

Release 4 — day 42, dose 2

2021-02-24

Symptoms: Pregnancy Miscarriage. Conceived after second dose. Miscarriage at 6 weeks ega

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: New pregnancy, intentional. I had an early miscarriage just after my second dose in Jan/Feb

Release 9 — day 0, dose 3

2021-10-04

Systemic reaction (other): Metallic taste in mouth

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): Pain in axilla of arm of injection

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
SDAbortion spontaneous ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SROAxillary pain · · ✓
SRODysgeusia ✓ ✓ ✓

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

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