6UR-72407-05603
4 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 041 / ME
- Registered
- 2021-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-04-14
Dose 2 — Moderna
-
2021-12-18
Dose 3 — Pfizer-BioNTech
-
2021-12-19
Registered in v-safe
- 2021-12-19
- 2021-12-20
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Fair · NauseaFree text: Been nauseous before the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-17
- 2022-01-22
- 2022-01-29
- 2022-03-19
-
2022-06-18
Survey response — 6 months, dose 3MedDRA: Hypertension — Feeling: GoodFree text: HypertensionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Dose 4 — Pfizer-BioNTech
- 2022-10-09
-
2022-10-10
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Poor · Headache, Fatigue or tirednessFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-13
- 2022-11-18
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | No |
| 2 | 2021-04-14 | Moderna | No |
| 3 | 2021-12-18 | Pfizer-BioNTech | No |
| 4 | 2022-10-07 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Been nauseous before the vaccine
Release 12 — 6 months, dose 3
Symptoms: Hypertension
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Dizzy
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 | Hypertension | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release