3LW-15365-13770
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
F9L-17926-40605
Adult relative or friend · Male · 2022-01-01
Timeline
-
2021-03-07
Registered in v-safe
-
2021-03-07
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-07
Survey response — day 0, dose 1MedDRA: Oropharyngeal pain, Paraesthesia — Feeling: GoodFree text: Sore throat, tingling in right footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-16
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-06-06
- 2021-09-05
-
2021-12-04
Dose 2 — Moderna
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-18
-
2021-12-26
Survey response — day 21, dose 2MedDRA: Breast feeding, Malaise, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Post nasal drip, congestion, scratchy throat. My 16 month old daughter who is still breast feeding had a positive CoVid test on December 23rd. I've had symptoms since December 24.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-08
- 2022-01-15
-
2022-03-05
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-10
-
2022-06-04
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Dose 3 — Pfizer-BioNTech
- 2022-12-04
-
2022-12-04
Survey response — 12 months, dose 2MedDRA: Caesarean section — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Pregnancy and c-sectionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-04
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-12-05
- 2022-12-05
- 2022-12-05
- 2022-12-12
- 2023-02-01
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Janssen/Johnson & Johnson | |
| 2 | 2021-12-04 | Moderna | No |
| 3 | 2022-10-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-05 | Unsuccessful | |
| 2022-12-04 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Sore throat, tingling in right foot
Release 10 — day 21, dose 2
Symptoms: Post nasal drip, congestion, scratchy throat. My 16 month old daughter who is still breast feeding had a positive CoVid test on December 23rd. I've had symptoms since December 24.
Release 11 — 3 months, dose 2
Symptoms: Pregnancy
Release 11 — 6 months, dose 2
Symptoms: Pregnancy
Release 12 — 12 months, dose 2
Symptoms: Pregnancy and c-section
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 | Breast feeding | · | · | ✓ |
| SD | Caesarean section | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release