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CCK-28769-16123

4 vaccinations 1 coded response 15 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
209 / MD
Registered
2021-11-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
XKZ-29817-72129 Child or adolescent in my care · Female · 2022-06-27
K36-19120-40465 Child or adolescent in my care · Male · 2022-06-27
LXA-33448-92157 Child or adolescent in my care · Female · 2022-06-27

Timeline

  1. 2021-03-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-16
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-17
    Dose 3 — Pfizer-BioNTech
  4. 2021-11-27
    Registered in v-safe
  5. 2021-11-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  6. 2022-01-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  7. 2022-04-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  8. 2022-09-27
    Dose 4 — Moderna
  9. 2022-09-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  10. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2022-10-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2022-10-04
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  14. 2022-10-11
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-10-18
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  16. 2022-10-25
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  17. 2022-11-03
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  18. 2022-11-08
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-12-27
    Survey response — 3 months, dose 4
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cold
    MedDRA releases: 2024-11 · check-in free text available
  20. 2023-03-30
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Pfizer-BioNTech No
22021-04-16Pfizer-BioNTech No
32021-10-17Pfizer-BioNTech No
42022-09-27Moderna No

Free text

Release 12 — 3 months, dose 4

2022-12-27

Symptoms: Cold

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

FieldPreferred term2021-092023-042024-11
SDNasopharyngitis · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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