9UF-15811-34111
4 vaccinations
1 coded response
18 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2021-11-22
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
4ZX-26411-07533
Child or adolescent in my care · Female · 2021-11-22
N9Z-92240-12398
Child or adolescent in my care · Male · 2022-06-02
Timeline
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-04-12
Dose 2 — Pfizer-BioNTech
-
2021-11-22
Registered in v-safe
-
2021-11-22
Dose 3 — Moderna
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Diarrhea, Abdominal painAdult check-in
- 2021-12-08
- 2021-12-13
- 2021-12-20
- 2021-12-27
-
2022-01-03
Survey response — day 42, dose 3MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue and diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-02-21
- 2022-05-23
- 2022-11-22
-
2022-12-16
Dose 4 — Moderna
-
2022-12-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-12-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-12-23
- 2023-01-15
- 2023-01-20
- 2023-01-27
- 2023-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | No |
| 2 | 2021-04-12 | Pfizer-BioNTech | No |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-12-16 | Moderna | No |
Free text
Release 10 — day 42, dose 3
Symptoms: Fatigue and diarrhea
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release