4PW-16689-77563
3 vaccinations
2 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 535 / WI
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Registered in v-safe
-
2021-04-19
Dose 1 — Moderna
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-05-17
Dose 2 — Moderna
- 2021-05-17
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-05-19
- 2021-05-21
- 2021-05-22
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
-
2021-06-21
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Soar throat, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
- 2021-08-16
- 2021-11-15
-
2022-01-19
Dose 3 — Pfizer-BioNTech
-
2022-07-20
Survey response — 6 months, dose 3MedDRA: Gestational diabetes, Polyhydramnios — Feeling: GoodFree text: Gestational diabetes and polyhydramniosMedDRA releases: 2024-11 · check-in free text available
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | |
| 2 | 2021-05-17 | Moderna | |
| 3 | 2022-01-19 | Pfizer-BioNTech | No |
Free text
Release 9 — day 35, dose 2
Symptoms: Soar throat, runny nose
Release 12 — 6 months, dose 3
Symptoms: Gestational diabetes and polyhydramnios
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 | Gestational diabetes | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Polyhydramnios | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release