BW4-76016-95805
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 981 / WA
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- ZJU-15821-74383
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
-
2022-06-23
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-06-24
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
-
2022-07-07
Survey response — day 14, dose 1, dependentMedDRA: Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Congestion, seems like just a cold since her Covid test was negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-07-14
- 2022-07-21
-
2022-07-22
Dose 2 — Moderna
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-29
- 2022-08-07
- 2022-08-12
- 2022-08-21
- 2022-08-26
- 2022-09-02
- 2022-10-21
-
2022-11-09
Dose 3 — Pfizer-BioNTech
-
2022-11-12
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Nausea, Abdominal painAdult check-in
-
2022-11-13
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-14
- 2022-11-18
- 2022-11-23
- 2022-12-07
- 2022-12-14
-
2022-12-23
Survey response — day 42, dose 3, dependentMedDRA: Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Fever a couple days ago (just 24 hours), cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2023-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2022-11-09 | Pfizer-BioNTech | No |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Congestion, seems like just a cold since her Covid test was negative
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Runny nose
Release 12 — day 42, dose 3, dependent
Symptoms: Fever a couple days ago (just 24 hours), cold symptoms
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 | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release