KGW-20270-30781
3 vaccinations
2 coded responses
30 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 054 / VT
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CLB-14028-99997
Child or adolescent in my care · Female · 2022-06-25
U3S-26146-72844
Child or adolescent in my care · Female · 2022-06-25
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-14
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-13
- 2021-03-19
- 2021-05-07
- 2021-08-08
-
2021-10-26
Dose 3 — Pfizer-BioNTech
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
-
2021-11-30
Survey response — day 35, dose 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Cold like symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — day 42, dose 3MedDRA: Cough, Dysphonia, Respiratory tract congestion — Feeling: FairFree text: Hoarse voice, cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-26 | Pfizer-BioNTech | No |
Free text
Release 10 — day 35, dose 3
Symptoms: Cold like symptoms
Release 10 — day 42, dose 3
Symptoms: Hoarse voice, 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 | Dysphonia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release