ZWM-56589-92298

4 vaccinations 5 coded responses 36 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 956 / CA
Registered: 2021-04-15

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

Registered dependents

G54-32869-36503 Child or adolescent in my care · Female · 2021-11-14

64E-27584-14048 Child or adolescent in my care · Male · 2022-11-10

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Dehydration, Migraine, Nausea, Pre-existing disease, Vomiting — Feeling: Poor · Be unable to work

Free text: Just today I developed a migraine, nausea, and I vomited once. I do not think it is related to the vaccine, because I was dehydrated and I often get migraines with nausea and vomiting when that happens.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 21, dose 2
MedDRA: Abdominal pain lower, Pelvic pain — Feeling: Fair

Free text: Lower abdominal and pelvic pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 28, dose 2
MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative, Sneezing — Feeling: Fair

Free text: I caught a cold, sneezing, minor cough. Got tested for covid and it was not detected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-11-09
Dose 3 — Moderna
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-11-16
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Chills, Cough, Laryngitis, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold, congestion, chills, cough, laryngitis. Covid tests were negative. Symptoms have resolved.

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Dose 4 — Moderna
Co-administered: Flu
2022-11-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-17
Survey response — day 28, dose 4
MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had vomiting and diarrhea for two days.

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-11-09	Moderna	No
4	2022-10-20	Moderna	Flu

Free text

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Just today I developed a migraine, nausea, and I vomited once. I do not think it is related to the vaccine, because I was dehydrated and I often get migraines with nausea and vomiting when that happens.

Release 8 — day 21, dose 2

2021-05-27

Symptoms: Lower abdominal and pelvic pain

Release 8 — day 28, dose 2

2021-06-05

Symptoms: I caught a cold, sneezing, minor cough. Got tested for covid and it was not detected.

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Cold, congestion, chills, cough, laryngitis. Covid tests were negative. Symptoms have resolved.

Release 12 — day 28, dose 4

2022-11-17

Symptoms: Had vomiting and diarrhea for two days.

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	Abdominal pain lower	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Dehydration	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Laryngitis	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Vomiting	✓	✓	✓

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