C55-82371-71061
5 vaccinations
2 coded responses
64 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 209 / MD
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BHN-29624-86011
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-03-15
Registered in v-safe
-
2021-04-03
Dose 1 — Pfizer-BioNTech
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
-
2021-04-24
Dose 2 — Pfizer-BioNTech
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-23
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Trouble sleepingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
-
2022-05-04
Dose 4 — Moderna
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
-
2022-05-18
Survey response — day 14, dose 4MedDRA: Hypersensitivity, Pre-existing disease — Feeling: FairFree text: Seasonal allergies (hay fever) worseningMedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-08-03
-
2022-09-04
Dose 5 — Moderna
-
2022-09-05
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-06
- 2022-09-07
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-18
- 2022-09-25
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-12-04
- 2023-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
| 5 | 2022-09-04 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Trouble sleeping
Release 11 — day 14, dose 4
Symptoms: Seasonal allergies (hay fever) worsening
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 | Hypersensitivity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release