G67-30033-35528
4 vaccinations
1 coded response
53 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 666 / KS
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZJG-15562-81151
Child or adolescent in my care · Female · 2023-03-09
Timeline
-
2021-02-15
Dose 1 — Pfizer-BioNTech
-
2021-02-16
Registered in v-safe
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
-
2021-03-08
Dose 2 — Pfizer-BioNTech
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-23
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-11-24
Dose 3 — Moderna
- 2021-11-24
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-07
- 2022-02-23
- 2022-05-25
-
2022-10-15
Dose 4 — Pfizer-BioNTech
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-29
- 2022-11-07
- 2022-11-13
-
2022-11-21
Survey response — day 35, dose 4MedDRA: Oropharyngeal pain, Respiratory tract congestion, Sinusitis — Feeling: Fair · Be unable to work or attend schoolFree text: Sinus infection, sore throat, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
- 2023-01-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Pfizer-BioNTech | |
| 2 | 2021-03-08 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-10-15 | Pfizer-BioNTech | No |
Free text
Release 12 — day 35, dose 4
Symptoms: Sinus infection, sore throat, 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 | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release