J8D-26818-78552
4 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 481 / MI
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
PZJ-23760-79776
Child or adolescent in my care · Female · 2022-06-29
Z82-11678-93397
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
-
2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, HeadacheAdult check-in
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-06
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-13
- 2021-01-14
- 2021-01-16
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-04-12
-
2021-07-12
Survey response — 6 months, dose 2MedDRA: Mastitis — Feeling: GoodFree text: MastitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-11-22
Dose 3 — Moderna
-
2022-01-11
Survey response — 12 months, dose 2MedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had RSV back in septemberMedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Dose 4 — Moderna
-
2022-06-29
Survey response — day 42, dose 4MedDRA: Cough, Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolFree text: Cough runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Survey response — 6 months, dose 4MedDRA: Parainfluenzae virus infection, Respiratory syncytial virus infection — Feeling: GoodFree text: Had RSV and parainfluenzaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
Free text
Release 9 — 6 months, dose 2
Symptoms: Mastitis
Release 10 — 12 months, dose 2
Symptoms: Had RSV back in september
Release 12 — day 42, dose 4
Symptoms: Cough runny nose
Release 12 — 6 months, dose 4
Symptoms: Had RSV and parainfluenza
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 | Mastitis | ✓ | ✓ | ✓ |
| SD | Parainfluenzae virus infection | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release