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RSB-23090-84699

3 vaccinations 10 coded responses 39 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
800 / CO
Registered
2021-08-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
8EX-22278-80522 Child or adolescent in my care · Male · 2022-06-24

Timeline

  1. 2021-08-12
    Registered in v-safe
  2. 2021-08-12
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-12
    Survey response — day 0, dose 1
    MedDRA: Dyspnoea, Pregnancy — Feeling: Fair
    Free text: Third trimester fatigue and shortness of breath no new findings
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache
    Free text: Had headache prior and sore throat due to poor air quality
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache
    Free text: Mild headache and dry throat- had this prior due to poor air quality
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Dry throat. Had prior due to poor air quality
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry throat — Feeling: Good
    Free text: Dry throat due to poor air quality. Had prior.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-08-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-08-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-09-03
    Dose 2 — Pfizer-BioNTech
  13. 2021-09-03
    Survey response — day 0, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Headache
    Free text: Headache prior to vaccination
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-09-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-09-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  16. 2021-09-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-09-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-09-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: On my hands
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-09-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-09-10
    Survey response — day 7, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair
    Free text: Ears and throat hurting. Think related to poor air quality in (b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-09-17
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-09-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-10-01
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-10-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-12-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-04
    Dose 3 — Pfizer-BioNTech
  28. 2022-02-04
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  29. 2022-02-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  30. 2022-02-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: I had allergies symptoms prior to getting booster
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-02-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2022-02-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2022-02-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, non productive cough -occasional. Could be r/t dry air or allergies
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-02-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-02-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-02-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-02-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-03-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-03-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-05-06
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-08-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2023-02-04
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-12Pfizer-BioNTech No
22021-09-03Pfizer-BioNTech No
32022-02-04Pfizer-BioNTech No

Free text

Release 9 — day 0, dose 1

2021-08-12

Systemic reaction (other): Third trimester fatigue and shortness of breath no new findings

Release 9 — days 1–6 daily, dose 1

2021-08-13

Systemic reaction (other): Had headache prior and sore throat due to poor air quality

2021-08-14

Systemic reaction (other): Mild headache and dry throat- had this prior due to poor air quality

2021-08-15

Systemic reaction (other): Dry throat. Had prior due to poor air quality

2021-08-16

Systemic reaction (other): Dry throat due to poor air quality. Had prior.

Release 9 — day 0, dose 2

2021-09-03

Systemic reaction (other): Headache prior to vaccination

Release 9 — days 1–6 daily, dose 2

2021-09-08

Systemic reaction (other): On my hands

Release 9 — day 7, dose 2

2021-09-10

Systemic reaction (other): Ears and throat hurting. Think related to poor air quality in (b)(6)
redacted (b)(6)

Release 11 — days 1–6 daily, dose 3

2022-02-06

Systemic reaction (other): I had allergies symptoms prior to getting booster

2022-02-09

Systemic reaction (other): Runny nose, non productive cough -occasional. Could be r/t dry air or allergies

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
SROCough · · ✓
SRODry throat ✓ · ✓
SRODyspnoea ✓ · ✓
SROEar pain · · ✓
SROHeadache ✓ · ✓
SROOropharyngeal pain ✓ · ✓
SROPre-existing disease ✓ · ✓
SROPregnancy ✓ · ✓
SRORhinorrhoea · · ✓
SROUnevaluable event · · ✓

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