6FK-31291-65882
4 vaccinations
0 coded responses
22 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 020 / MA
- Registered
- 2021-09-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
L5L-61462-35195
Child or adolescent in my care · Female · 2021-11-15
T8R-25087-34272
Child or adolescent in my care · Female · 2022-07-12
Timeline
-
2021-07-13
Dose 1 — Pfizer-BioNTech
-
2021-08-03
Dose 2 — Pfizer-BioNTech
-
2021-09-30
Registered in v-safe
- 2021-11-03
-
2022-01-15
Dose 3 — Moderna
-
2022-01-16
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2022-01-18
- 2022-01-19
- 2022-01-20
- 2022-01-21
- 2022-01-22
- 2022-01-29
- 2022-02-07
- 2022-02-12
- 2022-02-19
- 2022-02-26
- 2022-04-16
- 2022-07-18
-
2022-10-18
Dose 4 — Moderna
- 2022-10-18
-
2022-10-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-20
- 2022-10-21
- 2022-10-25
- 2022-11-29
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-13 | Pfizer-BioNTech | No |
| 2 | 2021-08-03 | Pfizer-BioNTech | No |
| 3 | 2022-01-15 | Moderna | No |
| 4 | 2022-10-18 | Moderna | No |
Free text
None.
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
No MedDRA codes.