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TUB-29017-70619

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 4 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
119 / NY
Registered
2021-08-29
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
CSQ-11451-99647 Child or adolescent in my care · Female · 2021-08-29

Timeline

  1. 2021-08-29
    Registered in v-safe
  2. 2021-09-05
    Dose 1 — Pfizer-BioNTech
  3. 2021-09-05
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-09-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-09-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-09-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-09-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-09-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-09-12
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-09-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-09-26
    Dose 2 — Pfizer-BioNTech
  12. 2021-09-26
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  13. 2021-09-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Office visit — Feeling: Good · Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional
    Free text: Meet with my OB office
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-09-28
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-09-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-09-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-09-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2021-10-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-10-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea
    Adult check-in
  20. 2021-10-03
    Health check-in — day 7, dose 2
    Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  21. 2021-10-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-02-26
    Dose 3 — Pfizer-BioNTech
  26. 2022-03-05
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  27. 2022-03-14
    Survey response — day 14, dose 3
    MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Worsening of IBS attacks
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-03-14
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  29. 2022-03-15
  30. 2022-03-21
    Survey response — day 21, dose 3
    MedDRA: Irritable bowel syndrome, Migraine, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Body aches, migraines, IBS attacks
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-03-21
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  32. 2022-03-23
  33. 2022-03-28
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  34. 2022-04-02
    Survey response — day 35, dose 3
    MedDRA: Bone pain, Cough, Fatigue, Headache, Pyrexia, Sneezing — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Fever, cough, sneezing, bone aches, headaches, fatigued
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-02
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  36. 2022-04-06
  37. 2022-04-10
    Survey response — day 42, dose 3
    MedDRA: Headache, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Fever, body aches, headaches
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-09-05Pfizer-BioNTech No
22021-09-26Pfizer-BioNTech No
32022-02-26Pfizer-BioNTech No

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-07

Systemic reaction (other): Stuffy nose

Release 9 — days 1–6 daily, dose 2

2021-09-28

Healthcare visit (other): Meet with my OB office

Release 11 — day 14, dose 3

2022-03-14

Symptoms: Worsening of IBS attacks

Release 11 — day 21, dose 3

2022-03-21

Symptoms: Body aches, migraines, IBS attacks

Release 11 — day 35, dose 3

2022-04-02

Symptoms: Fever, cough, sneezing, bone aches, headaches, fatigued

Release 11 — day 42, dose 3

2022-04-10

Symptoms: Fever, body aches, headaches

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
HCVOOffice visit · · ✓
SDBone pain · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDIrritable bowel syndrome · · ✓
SDMigraine · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDSneezing · · ✓
SRONasal congestion · · ✓

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