JD4-23272-15658
4 vaccinations
2 coded responses
42 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 452 / OH
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VYX-17686-77626
Child or adolescent in my care · Female · 2022-06-23
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-19
Registered in v-safe
-
2021-04-19
Dose 2 — Pfizer-BioNTech
-
2021-04-19
Survey response — day 0, dose 2MedDRA: Constipation — Feeling: Good · Site: Pain · ChillsFree text: Feeling constipatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-26
- 2021-05-31
- 2021-07-19
- 2021-10-18
-
2021-12-05
Dose 3 — Moderna
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
-
2022-01-16
Survey response — day 42, dose 3MedDRA: COVID-19, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold symptoms over the past week - positive covid diagnosisMedDRA releases: 2024-11 · check-in free text available
- 2022-03-06
- 2022-06-05
-
2022-09-29
Dose 4 — Moderna
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-12-29
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-12-05 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Feeling constipated
Release 10 — day 42, dose 3
Symptoms: Cold symptoms over the past week - positive covid diagnosis
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release