N76-17399-77414
4 vaccinations
5 coded responses
49 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 331 / FL
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
T9A-10867-62477
Child or adolescent in my care · Male · 2022-06-26
Timeline
-
2021-03-07
Registered in v-safe
-
2021-03-07
Dose 1 — Pfizer-BioNTech
-
2021-03-07
Health check-in — day 0, dose 1Feeling: Fair · Site: Itching · Fever · Chills, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Fatigue, Pruritus, Rash macular — Feeling: Poor · Rash, not including the immediate area around the injection site · 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: Itchy, bruising, red dots, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Heavy menstrual bleeding, Pruritus — Feeling: Fair · Headache, Joint pains, Fatigue or tirednessFree text: Bruising and itching. Heavy periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: Fair · FeverFree text: Itching all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
-
2021-03-29
Dose 2 — Pfizer-BioNTech
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-01
- 2021-04-03
- 2021-04-07
- 2021-04-21
- 2021-04-26
- 2021-05-05
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-11-11
Dose 3 — Pfizer-BioNTech
-
2021-11-11
Survey response — day 0, dose 3MedDRA: Pruritus — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: ItchyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fever · ChillsFree text: Swollen lymph nodes everywhereMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Redness, Itching · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-18
Health check-in — day 7, dose 3Feeling: Poor · Headache, Muscle or body aches, Nausea, Diarrhea · 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 consultationAdult check-in
-
2021-11-18
Report sent to call center — day 7, 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)
- 2021-11-19
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
- 2022-05-12
- 2022-11-11
-
2023-03-19
Dose 4 — Moderna
- 2023-03-19
- 2023-03-20
-
2023-03-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2023-03-22
- 2023-03-23
- 2023-03-24
- 2023-03-25
- 2023-03-26
- 2023-04-02
- 2023-04-09
- 2023-04-18
- 2023-04-23
- 2023-04-30
- 2023-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Pfizer-BioNTech | |
| 2 | 2021-03-29 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2023-03-19 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy, bruising, red dots, fatigue
Systemic reaction (other): Bruising and itching. Heavy period
Release 5 — day 7, dose 1
Systemic reaction (other): Itching all over
Release 10 — day 0, dose 3
Systemic reaction (other): Itchy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes everywhere
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 |
|---|---|---|---|---|
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release