5QL-19617-68275
4 vaccinations
5 coded responses
50 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 532 / WI
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Z74-31873-72002
Child or adolescent in my care · Female · 2022-06-27
Timeline
-
2021-04-01
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Registered in v-safe
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-08
Survey response — day 7, dose 1MedDRA: Breast feeding — Feeling: GoodFree text: My 19-mo-old had a fever. We still nurse so I thought I should mention itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
-
2021-04-22
Dose 2 — Pfizer-BioNTech
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-14
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2021-10-22
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Malaise — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I got my flu shot at the same time, and my period started yesterday as well, so I'm feeling really punky todayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 42, dose 3MedDRA: Dizziness, Middle ear effusion, Office visit, Self-medication — Feeling: GoodFree text: Dizziness for last 4 days. Yesterday, urgent care doctor said it's from fluid in both ears, suggested Claritin and Flonase. Hasn't resolved yet, but it's only been a dayMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-04-22
-
2022-09-16
Dose 4 — Moderna
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-09-19
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tirednessFree text: I got my flu shot yesterday - symptoms today are likely due to that, but I figured I'd report them anyway, just in caseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-21
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech | |
| 3 | 2021-10-22 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-16 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 7 — day 7, dose 1
Systemic reaction (other): My 19-mo-old had a fever. We still nurse so I thought I should mention it
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I got my flu shot at the same time, and my period started yesterday as well, so I'm feeling really punky today
Release 10 — day 42, dose 3
Symptoms: Dizziness for last 4 days. Yesterday, urgent care doctor said it's from fluid in both ears, suggested Claritin and Flonase. Hasn't resolved yet, but it's only been a day
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I got my flu shot yesterday - symptoms today are likely due to that, but I figured I'd report them anyway, just in case
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 | Dizziness | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release