C4E-12020-49041
5 vaccinations
2 coded responses
20 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 980 / WA
- Registered
- 2022-06-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BK9-33337-80329
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2021-04-03
Dose 1 — Pfizer-BioNTech
-
2021-06-24
Dose 2 — Pfizer-BioNTech
-
2021-10-27
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-06-10
Dose 4 — Moderna
-
2022-06-15
Registered in v-safe
- 2022-06-15
- 2022-06-16
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-17
- 2022-07-22
- 2022-09-09
-
2022-09-11
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
-
2022-09-25
Survey response — day 14, dose 5MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-10-02
Survey response — day 21, dose 5MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold symptoms with repeatedly negative Covid test. Congestion, runny nose, sore throat, cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-12-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | No |
| 2 | 2021-06-24 | Pfizer-BioNTech | No |
| 3 | 2021-10-27 | Pfizer-BioNTech | Flu |
| 4 | 2022-06-10 | Moderna | No |
| 5 | 2022-09-11 | Pfizer-BioNTech | Flu |
Free text
Release 12 — day 14, dose 5
Symptoms: Congestion, runny nose
Release 12 — day 21, dose 5
Symptoms: Cold symptoms with repeatedly negative Covid test. Congestion, runny nose, sore throat, cough.
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release