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Z3C-30580-29068

4 vaccinations 9 coded responses 34 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
651 / MO
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
W4Q-10259-94321 Child or adolescent in my care · Female · 2022-06-27

Timeline

  1. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Dizziness late last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-02-10
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-02-18
    Dose 2 — Pfizer-BioNTech
  11. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  17. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-11
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Sore throat and congestion for a day with several days of extreme fatigue after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-20
    Survey response — day 28, dose 2
    MedDRA: Nausea — Feeling: Fair
    Free text: Occasional nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-01
    Survey response — day 42, dose 2
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Got a virus. Congestion and cough. Doc not worried it's covid, tho.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-01
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-05-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-15
  25. 2021-06-16
  26. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-11
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  28. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Nothing too bad. Caught a couple things from my daycare-aged daughter.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-10-25
    Dose 4 — Pfizer-BioNTech
  30. 2022-10-25
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  31. 2022-10-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-10-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-10-29
    Survey response — days 1–6 daily, dose 4
    MedDRA: Abdominal discomfort — Feeling: Fair
    Free text: Stomach feeling upset most of the day.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-10-30
    Survey response — days 1–6 daily, dose 4
    MedDRA: Abdominal discomfort — Feeling: Fair
    Free text: Stomach upset
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-10-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-11-01
    Survey response — day 7, dose 4
    MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Probably PMS related.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-11-08
    Survey response — day 14, dose 4
    MedDRA: Cough, Discharge — Feeling: Poor · Be unable to work or attend school
    Free text: I've got a cough and some drainage. Cough feels like it's in my chest. Took a rapid test yesterday, and it's negative.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-11-15
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-11-22
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-11-29
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-12-06
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2023-01-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-18Pfizer-BioNTech
32021-11-11Pfizer-BioNTech Flu
42022-10-25Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-01 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Dizziness late last night.

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Sore throat and congestion for a day with several days of extreme fatigue after.

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Occasional nausea.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Got a virus. Congestion and cough. Doc not worried it's covid, tho.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Nothing too bad. Caught a couple things from my daycare-aged daughter.

Release 12 — days 1–6 daily, dose 4

2022-10-29

Systemic reaction (other): Stomach feeling upset most of the day.

2022-10-30

Systemic reaction (other): Stomach upset

Release 12 — day 7, dose 4

2022-11-01

Systemic reaction (other): Probably PMS related.

Release 12 — day 14, dose 4

2022-11-08

Symptoms: I've got a cough and some drainage. Cough feels like it's in my chest. Took a rapid test yesterday, and it's negative.

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 ✓ ✓ ✓
SDDischarge · · ✓
SDFatigue ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDUnevaluable event · · ✓
SROAbdominal discomfort · · ✓
SRODizziness ✓ ✓ ✓
SROUnevaluable event · · ✓

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