42C-32676-12953
4 vaccinations
2 coded responses
37 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 782 / TX
- Registered
- 2021-07-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
5MA-21317-29716
Child or adolescent in my care · Male · 2021-08-17
KSY-22460-12787
Child or adolescent in my care · Female · 2023-01-24
Timeline
-
2021-07-13
Dose 1 — Pfizer-BioNTech
-
2021-07-15
Registered in v-safe
-
2021-07-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-07-16
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Restless legs syndrome — Feeling: Good · Muscle or body achesFree text: Vaccine in right arm, Pain in the left leg (restless leg)MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-17
- 2021-07-18
- 2021-07-19
- 2021-07-20
- 2021-07-27
- 2021-08-03
- 2021-08-10
-
2021-08-13
Dose 2 — Pfizer-BioNTech
-
2021-08-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-08-18
- 2021-08-19
- 2021-08-20
- 2021-08-30
- 2021-09-12
- 2021-09-17
- 2021-09-25
- 2021-11-12
-
2022-01-22
Dose 3 — Moderna
-
2022-01-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body achesAdult check-in
- 2022-01-24
- 2022-01-25
-
2022-01-26
Survey response — days 1–6 daily, dose 3MedDRA: Lactation insufficiency — Feeling: GoodFree text: One thing that I notice is my milk supply is low, but I'm still breastfeeding.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
- 2022-01-28
- 2022-01-29
- 2022-02-05
- 2022-02-12
- 2022-02-19
- 2022-02-26
- 2022-03-06
- 2022-04-23
- 2022-07-25
-
2023-01-02
Dose 4 — Pfizer-BioNTech
- 2023-01-24
- 2023-01-24
- 2023-02-08
- 2023-02-15
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-13 | Pfizer-BioNTech | No |
| 2 | 2021-08-13 | Pfizer-BioNTech | No |
| 3 | 2022-01-22 | Moderna | No |
| 4 | 2023-01-02 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Vaccine in right arm, Pain in the left leg (restless leg)
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): One thing that I notice is my milk supply is low, but I'm still breastfeeding.
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 |
|---|---|---|---|---|
| SRO | Lactation insufficiency | · | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Restless legs syndrome | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release