C9V-21504-05824
5 vaccinations
4 coded responses
60 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 704 / LA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
UVN-21014-74116
Child or adolescent in my care · Female · 2021-11-08
8S3-20995-63463
Child or adolescent in my care · Female · 2022-06-25
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-22
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-19
- 2021-04-26
- 2021-05-05
- 2021-05-11
- 2021-05-21
- 2021-05-24
-
2021-07-12
Survey response — 3 months, dose 2MedDRA: Emergency care, Infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe infection (possibly sinus) that landed me in the ER for a few hours. I believe it was unrelated to the vaccine as my kids had recently tested positive for RSV and I began having symptoms soon after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-13
-
2021-11-11
Dose 3 — Pfizer-BioNTech
-
2021-11-11
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-27
-
2021-12-04
Survey response — day 21, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-16
-
2021-12-23
Survey response — day 42, dose 3MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-02-10
Survey response — 3 months, dose 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: FairFree text: Congestion, runny nose, coughing & sneezing.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
-
2022-05-27
Dose 4 — Pfizer-BioNTech
-
2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-30
-
2022-05-31
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-02
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-08-26
-
2022-09-26
Dose 5 — Pfizer-BioNTech
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-11-02
- 2022-11-07
- 2022-12-28
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2022-05-27 | Pfizer-BioNTech | No |
| 5 | 2022-09-26 | Pfizer-BioNTech | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: Severe infection (possibly sinus) that landed me in the ER for a few hours. I believe it was unrelated to the vaccine as my kids had recently tested positive for RSV and I began having symptoms soon after.
Release 10 — day 21, dose 3
Symptoms: Sore throat
Release 10 — day 42, dose 3
Symptoms: Cough
Release 11 — 3 months, dose 3
Symptoms: Congestion, runny nose, coughing & sneezing.
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Infection | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release