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N55-14026-35465

4 vaccinations 2 coded responses 25 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
430 / OH
Registered
2021-09-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
R2V-26921-07222 Child or adolescent in my care · Male · 2022-07-05

Timeline

  1. 2021-02-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-23
    Dose 2 — Pfizer-BioNTech
  3. 2021-09-24
    Registered in v-safe
  4. 2021-09-25
    Dose 3 — Pfizer-BioNTech
  5. 2021-09-25
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-09-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-09-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Headache, Diarrhea
    Adult check-in
  8. 2021-09-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-10-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-10-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-10-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-10-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-10-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-12-25
    Survey response — 3 months, dose 3
    MedDRA: Cough, Fatigue, Pain, Respiratory tract congestion, Throat irritation — Feeling: Poor · 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
    Free text: Scratchy throat, aches, fatigue, congestion, coughing
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-25
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  20. 2021-12-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  21. 2022-03-27
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  22. 2022-09-09
    Dose 4 — Moderna
  23. 2022-09-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  24. 2022-09-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  25. 2022-09-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-09-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-09-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-10-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-10-09
    Survey response — day 28, dose 4
    MedDRA: COVID-19 — Feeling: Fair
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-10-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-12-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2023-03-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Pfizer-BioNTech No
22021-02-23Pfizer-BioNTech No
32021-09-25Pfizer-BioNTech No
42022-09-09Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — 3 months, dose 3

2021-12-25

Symptoms: Scratchy throat, aches, fatigue, congestion, coughing

Release 12 — day 28, dose 4

2022-10-09

Symptoms: Covid

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SDThroat irritation · · ✓

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

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