FHH-12384-68085
4 vaccinations
2 coded responses
21 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 210 / MD
- Registered
- 2021-11-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SH5-30703-08260
Child or adolescent in my care · Female · 2021-11-15
HFS-23006-67077
Child or adolescent in my care · Male · 2022-11-02
X3B-57428-93804
Child or adolescent in my care · Female · 2022-11-03
Timeline
-
2021-01-11
Dose 1 — Pfizer-BioNTech
-
2021-02-02
Dose 2 — Pfizer-BioNTech
-
2021-11-04
Dose 3 — Pfizer-BioNTech
-
2021-11-15
Registered in v-safe
- 2021-11-15
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
- 2022-11-04
-
2022-11-30
Dose 4 — Moderna
- 2022-12-02
- 2022-12-03
- 2022-12-04
- 2022-12-05
- 2022-12-07
- 2022-12-14
-
2022-12-21
Survey response — day 21, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Cough congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Survey response — day 28, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: Cold cough congestionMedDRA releases: 2024-11 · check-in free text available
- 2023-01-04
- 2023-01-13
- 2023-03-01
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | No |
| 2 | 2021-02-02 | Pfizer-BioNTech | No |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
| 4 | 2022-11-30 | Moderna | No |
Free text
Release 12 — day 21, dose 4
Symptoms: Cough congestion
Release 12 — day 28, dose 4
Symptoms: Cold cough congestion
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 | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release