3WU-25769-20445
4 vaccinations
2 coded responses
12 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 410 / KY
- Registered
- 2022-06-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FZ8-10467-78589
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-04-21
Dose 2 — Moderna
-
2021-11-30
Dose 3 — Pfizer-BioNTech
-
2022-06-23
Registered in v-safe
-
2022-09-23
Dose 4 — Pfizer-BioNTech
- 2022-09-23
-
2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
-
2022-10-14
Survey response — day 21, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: I had a cold (tested negative on Covid rapid tests during days where I had cold symptoms). I have recovered.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Survey response — day 28, dose 4MedDRA: Office visit, Sinusitis — Feeling: Good · Be unable to work or attend schoolFree text: I had a sinus infection and went to the doctor. I received antibiotics and I feel much better.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | No |
| 2 | 2021-04-21 | Moderna | No |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
| 4 | 2022-09-23 | Pfizer-BioNTech | No |
Free text
Release 12 — day 21, dose 4
Symptoms: I had a cold (tested negative on Covid rapid tests during days where I had cold symptoms). I have recovered.
Release 12 — day 28, dose 4
Symptoms: I had a sinus infection and went to the doctor. I received antibiotics and I feel much better.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release