M9C-33256-09001
5 vaccinations
6 coded responses
64 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 941 / CA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Registered in v-safe
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2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Pfizer-BioNTech
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2021-04-26
Survey response — day 0, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Metallic taste in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
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2021-10-25
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Haemorrhage — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Complications surrounding miscarriage including massive hemorrhaging.MedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Report sent to call center — 6 months, dose 2Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-26
-
2021-10-27
Call successfulDoes not wish to fill out VAERS report
-
2021-11-05
Dose 3 — Pfizer-BioNTech
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Hypogeusia — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Diminished sense of tasteMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
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2022-05-06
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a cold last week. Took several rapid antigen tests and a PCR test, they were all negative.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-09
-
2022-07-28
Dose 4 — Moderna
- 2022-07-28
-
2022-07-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-07-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-07-31
-
2022-08-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-08-02
- 2022-08-03
- 2022-08-04
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2022-08-11
Survey response — day 14, dose 4MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat and congestionMedDRA releases: 2024-11 · check-in free text available
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2022-08-18
Survey response — day 21, dose 4MedDRA: Ageusia, Anosmia, Body temperature increased, COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: COVID positive. Sore throat, cough, congestion, low grade fever (99.86 and only lasted a few hours), loss of smell and taste- slowly returning.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-25
- 2022-09-01
- 2022-09-08
- 2022-10-27
-
2023-01-23
Dose 5 — Moderna
- 2023-01-23
- 2023-01-24
- 2023-01-25
- 2023-01-26
- 2023-01-28
- 2023-01-29
- 2023-01-30
- 2023-02-06
- 2023-02-13
- 2023-02-20
- 2023-02-27
- 2023-03-08
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
| 4 | 2022-07-28 | Moderna | No |
| 5 | 2023-01-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-25 | Successful 2021-10-27 |
Does not wish to fill out VAERS report |
| 2022-05-06 | Unsuccessful |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Metallic taste in my mouth
Release 10 — 6 months, dose 2
Symptoms: Complications surrounding miscarriage including massive hemorrhaging.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Diminished sense of taste
Release 11 — 6 months, dose 3
Symptoms: I had a cold last week. Took several rapid antigen tests and a PCR test, they were all negative.
Release 12 — day 14, dose 4
Symptoms: Sore throat and congestion
Release 12 — day 21, dose 4
Symptoms: COVID positive. Sore throat, cough, congestion, low grade fever (99.86 and only lasted a few hours), loss of smell and taste- slowly returning.
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 | Abortion spontaneous | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Haemorrhage | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Hypogeusia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release