VAW-11176-90401

4 vaccinations 9 coded responses 48 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 972 / OR
Registered: 2021-04-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-25
Dose 2 — Pfizer-BioNTech
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Moderna
2021-12-11
Survey response — day 0, dose 3
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats, Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Night sweats, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — day 7, dose 3
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-03
Dose 4 — Moderna
2022-10-03
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-14
Survey response — day 42, dose 4
MedDRA: Respiratory syncytial virus infection — Feeling: Good

Free text: Family caught RSV

MedDRA releases: 2024-11 · check-in free text available
2023-01-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-25	Pfizer-BioNTech
3	2021-12-11	Moderna	No
4	2022-10-03	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Hot flashes

Release 10 — day 0, dose 3

2021-12-11

Systemic reaction (other): Pregnant

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Sore throat

2021-12-14

Systemic reaction (other): Sore throat

2021-12-15

Systemic reaction (other): Night sweats, sore throat

2021-12-16

Systemic reaction (other): Cold symptoms

2021-12-17

Systemic reaction (other): Cold symptoms

Release 10 — day 7, dose 3

2021-12-18

Systemic reaction (other): Cold symptoms

Release 12 — day 42, dose 4

2022-11-14

Symptoms: Family caught RSV

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

Field	Preferred term	2021-09	2023-04	2024-11
SD	Respiratory syncytial virus infection	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pregnancy	·	·	✓

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