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9ZU-58707-05559

4 vaccinations 0 coded responses 24 check-ins 0 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
024 / MA
Registered
2021-07-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
823-15570-66500 Child or adolescent in my care · Male · 2022-06-26
A5K-20305-29498 Child or adolescent in my care · Male · 2022-07-03

Timeline

  1. 2021-04-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-07-12
    Registered in v-safe
  4. 2021-08-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-11-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-11-11
    Dose 3 — Pfizer-BioNTech
  7. 2021-11-11
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  8. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  11. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  12. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-11-18
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  14. 2021-11-25
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-02
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-12-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-12-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-02-10
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-05-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-09-23
    Dose 4 — Moderna
  22. 2022-09-23
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  24. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  25. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  26. 2022-10-03
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-10-08
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-10-17
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-03-24
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Pfizer-BioNTech No
22021-05-10Pfizer-BioNTech No
32021-11-11Pfizer-BioNTech No
42022-09-23Moderna 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.

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