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UUW-28665-51345

4 vaccinations 8 coded responses 42 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
435 / OH
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
3V6-27803-81645 Child or adolescent in my care · Male · 2021-11-13
P29-16334-85260 Child or adolescent in my care · Male · 2021-11-13
LWD-24948-04963 Child or adolescent in my care · Female · 2022-06-23

Timeline

  1. 2021-03-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain, Ear discomfort, Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Abdominal cramping, nasal congestion, ear pressure/fullness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-23
    Dose 2 — Pfizer-BioNTech
  9. 2021-03-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Survey response — day 28, dose 2
    MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good
    Free text: Painful/achey legs. May be unrelated since I have a history of varicose veins
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-14
    Dose 3 — Pfizer-BioNTech
  18. 2021-10-14
    Health check-in — day 0, dose 3
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-10-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever
    Free text: Chest tightness (like with a cold or bronchitis)
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen axillary lymph nodes, worse on side of vaccination
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness
    Free text: Mild axillary lymph node swelling (improving from precious days)
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-10-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest discomfort, Chest pain — Feeling: Good · Fatigue or tiredness
    Free text: Mild chest pain/tightness (momentary)
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-23
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  25. 2021-10-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-06-27
    Dose 4 — Moderna
  33. 2022-06-27
    Health check-in — day 0, dose 4
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  34. 2022-06-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  35. 2022-06-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  36. 2022-07-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  37. 2022-07-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  38. 2022-07-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-07-04
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-07-11
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-07-18
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-07-25
    Survey response — day 28, dose 4
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-08-01
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-08-08
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-09-26
    Survey response — 3 months, dose 4
    MedDRA: Von Willebrand's disease — Feeling: Good
    Free text: Diagnosed with von willebrand disease (unrelated to vaccines)
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-12-26
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  47. 2023-06-27
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Pfizer-BioNTech
22021-03-23Pfizer-BioNTech
32021-10-14Pfizer-BioNTech No
42022-06-27Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Abdominal cramping, nasal congestion, ear pressure/fullness

Release 7 — day 28, dose 2

2021-04-20

Symptoms: Painful/achey legs. May be unrelated since I have a history of varicose veins

Release 10 — days 1–6 daily, dose 3

2021-10-15

Systemic reaction (other): Chest tightness (like with a cold or bronchitis)

2021-10-16

Systemic reaction (other): Swollen axillary lymph nodes, worse on side of vaccination

2021-10-18

Systemic reaction (other): Mild axillary lymph node swelling (improving from precious days)

2021-10-20

Systemic reaction (other): Mild chest pain/tightness (momentary)

Release 12 — day 28, dose 4

2022-07-25

Symptoms: Pregnancy

Release 12 — 3 months, dose 4

2022-09-26

Symptoms: Diagnosed with von willebrand disease (unrelated to vaccines)

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
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPregnancy · · ✓
SDVon Willebrand's disease · · ✓
SROAbdominal pain ✓ ✓ ✓
SROChest discomfort · · ✓
SROChest pain · · ✓
SROEar discomfort ✓ ✓ ✓
SROLymphadenopathy · · ✓
SRONasal congestion ✓ ✓ ✓

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