4SM-31927-84654
4 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 010 / MA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AES-14781-63600
Child or adolescent in my care · Male · 2022-07-07
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-22
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Suppressed lactation — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Rigors, inability to let down milk supply while pumping (probably because i felt so terrible)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, SARS-CoV-2 test negative — Feeling: GoodFree text: I did have negative covid testing after my severe symptoms on day 1 post vaccine #2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-13
- 2021-02-19
- 2021-02-27
- 2021-03-06
- 2021-03-11
- 2021-04-29
-
2021-07-29
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Miscarriage, one episode of cold symptoms with 2 neg covid testsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-01
Dose 3 — Pfizer-BioNTech
- 2022-01-29
-
2022-09-23
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-04
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
-
2022-12-23
Survey response — 3 months, dose 4MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Sore throat, cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-12-01 | Pfizer-BioNTech | No |
| 4 | 2022-09-23 | Pfizer-BioNTech | Flu |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Rigors, inability to let down milk supply while pumping (probably because i felt so terrible)
Systemic reaction (other): I did have negative covid testing after my severe symptoms on day 1 post vaccine #2
Release 9 — 6 months, dose 2
Symptoms: Miscarriage, one episode of cold symptoms with 2 neg covid tests
Release 12 — 3 months, dose 4
Symptoms: Sore throat, cough, congestion
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 | Abortion spontaneous | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Suppressed lactation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release