2H3-30044-00798
4 vaccinations
2 coded responses
42 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 217 / MD
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VBS-40896-59173
Child or adolescent in my care · Female · 2021-11-20
743-78388-72718
Child or adolescent in my care · Male · 2022-09-14
Timeline
-
2020-12-27
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
- 2020-12-30
- 2021-01-04
- 2021-01-27
-
2021-01-28
Dose 2 — Moderna
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-13
- 2021-02-21
- 2021-02-25
- 2021-03-06
- 2021-03-12
- 2021-04-29
- 2021-07-30
-
2021-11-16
Dose 3 — Pfizer-BioNTech
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, DiarrheaFree text: Whole arm swelling, numbness of injection armMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-11-21
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-02-15
-
2022-05-17
Survey response — 6 months, dose 3MedDRA: Paraesthesia — Feeling: FairFree text: Tingling over left shoulder bladeMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Dose 4 — Pfizer-BioNTech
- 2022-09-30
- 2022-09-30
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Headache, Joint painsAdult check-in
-
2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body achesAdult check-in
-
2022-10-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-06
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Whole arm swelling, numbness of injection arm
Release 11 — 6 months, dose 3
Symptoms: Tingling over left shoulder blade
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 | Paraesthesia | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release