24V-12930-07812
3 vaccinations
1 coded response
28 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 672 / KS
- Registered
- 2021-06-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-04
Registered in v-safe
-
2021-06-04
Dose 1 — Pfizer-BioNTech
- 2021-06-04
-
2021-06-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-06-06
- 2021-06-07
- 2021-06-08
- 2021-06-18
-
2021-06-25
Dose 2 — Pfizer-BioNTech
- 2021-06-25
- 2021-06-26
- 2021-06-29
- 2021-06-30
- 2021-07-04
- 2021-07-11
- 2021-07-23
- 2021-08-08
- 2021-09-24
- 2021-12-24
-
2021-12-27
Dose 3 — ModernaCo-administered: Flu
- 2021-12-28
- 2021-12-29
- 2021-12-31
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-10
-
2022-01-17
Survey response — day 21, dose 3MedDRA: Chills, Diarrhoea, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had diarrhea, nausea, aches, chills and a fever for 48 hrs. At home COVID test was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-24
- 2022-02-02
- 2022-03-28
- 2022-06-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-04 | Pfizer-BioNTech | |
| 2 | 2021-06-25 | Pfizer-BioNTech | No |
| 3 | 2021-12-27 | Moderna | Flu |
Free text
Release 10 — day 21, dose 3
Symptoms: I had diarrhea, nausea, aches, chills and a fever for 48 hrs. At home COVID test was 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release