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TB8-17822-04861

4 vaccinations 8 coded responses 43 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
206 / MD
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
PVP-71179-19179 Child or adolescent in my care · Male · 2021-11-06

Timeline

  1. 2021-01-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-29
    Registered in v-safe
  3. 2021-01-29
    Dose 2 — Pfizer-BioNTech
  4. 2021-01-29
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  7. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Underarm pain in injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-02
    Dose 3 — Pfizer-BioNTech
  20. 2021-10-02
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  22. 2021-10-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Free text: Lymph node pain/swelling in underarm of injection arm
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Free text: Swollen lymph nodes in underarm
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Lymph node pain and swelling in underarm
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Lymph node pain/swelling in underarm
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-09
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-16
    Survey response — day 14, dose 3
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school
    Free text: Miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-10-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-04-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-09-23
    Dose 4 — Moderna
  36. 2022-09-23
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  37. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  38. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  39. 2022-09-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  40. 2022-09-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  41. 2022-09-30
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  42. 2022-10-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-10-14
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-23
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-11-04
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-12-23
    Survey response — 3 months, dose 4
    MedDRA: Postpartum state, Pre-eclampsia — 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 · Hospitalization
    Free text: Postpartum preeclampsia
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-12-23
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  49. 2022-12-27
  50. 2023-03-24
    Survey response — 6 months, dose 4
    MedDRA: Hypertension, Postpartum state, Pre-eclampsia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  51. 2023-03-24
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  52. 2023-03-27
  53. 2023-03-27

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Pfizer-BioNTech
22021-01-29Pfizer-BioNTech
32021-10-02Pfizer-BioNTech No
42022-09-23Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-12-23 Unsuccessful
2023-03-24 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Underarm pain in injection arm

Release 9 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Lymph node pain/swelling in underarm of injection arm

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Swollen lymph nodes in underarm

2021-10-06

Systemic reaction (other): Lymph node pain and swelling in underarm

2021-10-07

Systemic reaction (other): Lymph node pain/swelling in underarm

Release 10 — day 14, dose 3

2021-10-16

Symptoms: Miscarriage

Release 12 — 3 months, dose 4

2022-12-23

Symptoms: Postpartum preeclampsia

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
SDAbortion spontaneous · · ✓
SDHypertension · · ✓
SDPostpartum state · · ✓
SDPre-eclampsia · · ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓

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

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