CW5-11433-55439
4 vaccinations
2 coded responses
33 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 813 / CO
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
EEZ-45663-89666
Child or adolescent in my care · Female · 2022-06-29
SX7-20076-86616
Child or adolescent in my care · Male · 2022-06-29
Timeline
-
2021-02-25
Dose 1 — Pfizer-BioNTech
-
2021-03-01
Registered in v-safe
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-13
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-11-26
Dose 3 — Moderna
- 2022-03-17
-
2022-11-23
Dose 4 — Pfizer-BioNTech
-
2022-11-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-11-25
- 2022-11-26
- 2022-11-27
- 2022-11-28
- 2022-11-29
-
2022-11-30
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I had my flu shot roughly 26 hours ago, symptoms noted started 8 hours ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
- 2022-12-14
-
2022-12-21
Survey response — day 28, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: Had my Dtapp vaccine at 28 wks pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-12-28
- 2023-01-04
- 2023-02-22
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-11-26 | Moderna | No |
| 4 | 2022-11-23 | Pfizer-BioNTech | No |
Free text
Release 12 — day 7, dose 4
Systemic reaction (other): I had my flu shot roughly 26 hours ago, symptoms noted started 8 hours ago.
Release 12 — day 28, dose 4
Symptoms: Had my Dtapp vaccine at 28 wks pregnant
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 | Pregnancy | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release