2V7-64857-15926
4 vaccinations
2 coded responses
20 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 220 / VA
- Registered
- 2021-11-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AAH-11605-13157
Child or adolescent in my care · · 2022-09-19
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-04-20
Dose 2 — Pfizer-BioNTech
-
2021-11-18
Dose 3 — Moderna
-
2021-11-20
Registered in v-safe
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-27
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
- 2022-05-19
-
2022-09-12
Dose 4 — ModernaCo-administered: Flu
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
-
2022-10-17
Survey response — day 35, dose 4MedDRA: Headache, Nasal congestion — Feeling: GoodFree text: Occasional stuffy nose and headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-12-12
-
2023-03-15
Survey response — 6 months, dose 4MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | No |
| 2 | 2021-04-20 | Pfizer-BioNTech | No |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-09-12 | Moderna | Flu |
Free text
Release 12 — day 35, dose 4
Symptoms: Occasional stuffy nose and headache
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release