C77-47070-09484
4 vaccinations
7 coded responses
43 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7S5-56045-83752
Child or adolescent in my care · Male · 2022-09-28
Timeline
-
2021-04-18
Registered in v-safe
-
2021-04-18
Dose 1 — Moderna
- 2021-04-18
- 2021-04-20
- 2021-04-21
-
2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Sinus pain — Feeling: GoodFree text: Slight sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in my armpit on the same side as the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph gland is still sore and swollen, but better than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-09
-
2021-05-16
Dose 2 — Moderna
- 2021-05-16
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-18
-
2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Acne — Feeling: Fair · Headache, Fatigue or tirednessFree text: AcneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-06-01
- 2021-06-06
- 2021-06-13
- 2021-06-20
- 2021-06-27
- 2021-08-15
- 2021-11-14
-
2021-12-08
Dose 3 — Moderna
- 2021-12-19
- 2021-12-22
- 2021-12-30
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-03-09
- 2022-06-09
-
2022-09-25
Dose 4 — Pfizer-BioNTech
- 2022-09-28
- 2022-09-30
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-10-02
- 2022-10-09
-
2022-10-16
Survey response — day 21, dose 4MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Cold symptoms - sore throat, congestion, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Survey response — day 28, dose 4MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough, sore throat, congestion (post nasal drip)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-11-06
- 2022-12-26
-
2023-03-26
Survey response — 6 months, dose 4MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-18 | Moderna | |
| 2 | 2021-05-16 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-09-25 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Slight sinus pain
Systemic reaction (other): Swollen lymph node in my armpit on the same side as the injection
Release 7 — day 7, dose 1
Systemic reaction (other): Lymph gland is still sore and swollen, but better than yesterday
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Acne
Release 12 — day 21, dose 4
Symptoms: Cold symptoms - sore throat, congestion, cough
Release 12 — day 28, dose 4
Symptoms: Cough, sore throat, congestion (post nasal drip)
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 | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release