5RN-14938-39311
3 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 974 / OR
- Registered
- 2021-05-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
2E6-15899-59918
Child or adolescent in my care · Male · 2022-04-22
Timeline
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-05-10
Registered in v-safe
- 2021-06-12
- 2021-09-11
-
2021-10-22
Dose 2 — Pfizer-BioNTech
- 2021-10-30
- 2021-11-05
- 2021-11-12
- 2021-11-19
-
2021-11-26
Survey response — day 35, dose 2MedDRA: Delivery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Healthy baby delivery in a hospital at 40 weeks.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Report sent to call center — day 35, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2021-11-30
-
2021-12-03
Survey response — day 42, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Regular coldMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
-
2022-04-22
Survey response — 6 months, dose 2MedDRA: COVID-19, Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Congestion, fatigue, fever, and sore throat from COVID-19 (my son was confirmed via PCR test).MedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Dose 3 — Moderna
- 2023-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-22 | Pfizer-BioNTech | No |
| 3 | 2022-07-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-26 | Unsuccessful |
Free text
Release 10 — day 35, dose 2
Symptoms: Healthy baby delivery in a hospital at 40 weeks.
Release 10 — day 42, dose 2
Symptoms: Regular cold
Release 11 — 6 months, dose 2
Symptoms: Congestion, fatigue, fever, and sore throat from COVID-19 (my son was confirmed via PCR test).
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 | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release