LWS-56957-53981
4 vaccinations
4 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 900 / CA
- Registered
- 2021-12-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
3QV-35007-30237
Child or adolescent in my care · Male · 2021-12-14
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-04-20
Dose 2 — Pfizer-BioNTech
-
2021-12-14
Registered in v-safe
-
2021-12-14
Dose 3 — Pfizer-BioNTech
-
2021-12-14
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Lower urinary tract symptoms, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Low grade fever - took one 500mg tylenol per doctor's recommendation. Also had symptoms of UTI this morning but it's all better now, drank 62 ounces of water.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
- 2021-12-18
- 2021-12-19
-
2021-12-21
Survey response — day 7, dose 3MedDRA: Body temperature increased, Headache — Feeling: GoodFree text: I had a slight fever (99.4) and headache for a little while yesterday, I missed the v-safe. Today I'm fine.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-03-15
- 2022-06-14
-
2022-12-14
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-12-15
Survey response — 12 months, dose 3MedDRA: Dizziness, Nausea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vomiting, dizziness, nauseaMedDRA releases: 2024-11 · check-in free text available
- 2022-12-17
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-01-11
- 2023-01-21
- 2023-01-26
-
2023-03-15
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
- 2023-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | No |
| 2 | 2021-04-20 | Pfizer-BioNTech | No |
| 3 | 2021-12-14 | Pfizer-BioNTech | No |
| 4 | 2022-12-14 | Pfizer-BioNTech | Flu |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Low grade fever - took one 500mg tylenol per doctor's recommendation. Also had symptoms of UTI this morning but it's all better now, drank 62 ounces of water.
Release 10 — day 7, dose 3
Systemic reaction (other): I had a slight fever (99.4) and headache for a little while yesterday, I missed the v-safe. Today I'm fine.
Release 12 — 12 months, dose 3
Symptoms: Vomiting, dizziness, nausea
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 | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lower urinary tract symptoms | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release