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P48-28747-84029

4 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
236 / VA
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
227-20910-71592 Child or adolescent in my care · Female · 2022-06-29
HVV-52618-19339 Child or adolescent in my care · Male · 2022-06-29
AU5-33982-44618 Child or adolescent in my care · Male · 2022-06-29

Timeline

  1. 2021-04-01
    Registered in v-safe
  2. 2021-04-01
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-01
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  4. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Felt light headed when walking around
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Still Lightheaded when walking
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Still lightheaded randomly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-23
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-04
    Survey response — day 42, dose 2
    MedDRA: Dizziness, Headache, Nausea — Feeling: Good
    Free text: Nausea, lightheadedness, headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-10-23
    Survey response — 6 months, dose 2
    MedDRA: Ejection fraction decreased — Feeling: Good · Be unable to do your normal daily activities
    Free text: Possible heart failure - EF at 40%
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-01-04
    Dose 3 — Moderna
    Co-administered: Flu
  23. 2022-04-23
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-06-27
    Dose 4 — Moderna
  25. 2022-06-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-07-09
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-07-11
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-08-01
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-09-27
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Pfizer-BioNTech
22021-04-23Pfizer-BioNTech
32022-01-04Moderna Flu
42022-06-27Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Felt light headed when walking around

2021-04-05

Systemic reaction (other): Still Lightheaded when walking

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Still lightheaded randomly

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Runny nose

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Nausea, lightheadedness, headaches

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Possible heart failure - EF at 40%

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Pregnancy

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
SDDizziness ✓ ✓ ✓
SDEjection fraction decreased · · ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPregnancy · · ✓
SRODizziness ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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

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