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VCV-29645-99269

4 vaccinations 6 coded responses 23 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
924 / CA
Registered
2021-03-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
NRH-25627-53543 Child or adolescent in my care · Female · 2021-12-09

Timeline

  1. 2021-02-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-26
    Dose 2 — Pfizer-BioNTech
  3. 2021-03-29
    Registered in v-safe
  4. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle twitching — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: twitching in the muscle where I received the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Memory impairment — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Memory issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  9. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-09
    Dose 3 — Moderna
  17. 2021-12-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-12-21
    Survey response — day 42, dose 3
    MedDRA: COVID-19, Influenza — Feeling: Poor
    Free text: I either have the flu or covid
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-08
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-05-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-11-11
    Survey response — 12 months, dose 3
    MedDRA: Intervertebral disc protrusion, Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Building disc in my neck and migraines which I have never had
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-11-11
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-11-14
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  24. 2022-11-14
    Call successful
    Not applicable - Accidental Reporting
  25. 2022-12-08
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  26. 2022-12-12
    Survey response — day 28, dose 4
    MedDRA: COVID-19, Cough, Headache, Muscle spasms, Oropharyngeal pain, Pain, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have covid, 1st day of symptoms today. In pain, cramping and bones, headache, chest congestion, cough, and sore throat
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-12-19
    Survey response — day 35, dose 4
    MedDRA: COVID-19, Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Still have covid and the headache and fatigue are terrible.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-12-28
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  29. 2023-02-13
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  30. 2023-05-15
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Pfizer-BioNTech
22021-03-26Pfizer-BioNTech
32021-11-09Moderna No
42022-11-14Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-11-11 Successful
2022-11-14
Not applicable - Accidental Reporting

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): twitching in the muscle where I received the injection.

2021-04-01

Systemic reaction (other): Memory issues

Release 10 — day 42, dose 3

2021-12-21

Symptoms: I either have the flu or covid

Release 12 — 12 months, dose 3

2022-11-11

Symptoms: Building disc in my neck and migraines which I have never had

Release 12 — day 28, dose 4

2022-12-12

Symptoms: I have covid, 1st day of symptoms today. In pain, cramping and bones, headache, chest congestion, cough, and sore throat

Release 12 — day 35, dose 4

2022-12-19

Symptoms: Still have covid and the headache and fatigue are terrible.

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInfluenza · · ✓
SDIntervertebral disc protrusion · · ✓
SDMigraine · · ✓
SDMuscle spasms · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SDUnevaluable event · · ✓
SROMemory impairment ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓

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