NQ6-23573-32742
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 303 / GA
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PZB-22965-06524
Child or adolescent in my care · Female · 2022-06-25
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-04
- 2021-04-06
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-14
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Diarrhoea, Food poisoning — Feeling: GoodFree text: Diarrhea (likely food poisining)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
-
2021-06-09
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: FairFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
- 2021-10-27
-
2021-11-30
Dose 3 — Pfizer-BioNTech
-
2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Decreased appetiteMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-14
-
2021-12-21
Survey response — day 21, dose 3MedDRA: Pyrexia, Sinus disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe sinus problems, one day with fever.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-04
-
2022-03-03
Survey response — 3 months, dose 3MedDRA: Back pain, Diarrhoea, Physiotherapy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Back pain, diarrhea · Healthcare visit (other): Physical therapyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-03
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-04
- 2022-06-02
-
2022-07-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Diarrhea (likely food poisining)
Release 9 — day 42, dose 2
Symptoms: Diarrhea
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Decreased appetite
Release 10 — day 21, dose 3
Symptoms: Severe sinus problems, one day with fever.
Release 11 — 3 months, dose 3
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 |
|---|---|---|---|---|
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release