P4B-18017-94579
4 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 973 / OR
- Registered
- 2021-11-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
WU8-16808-33142
Child or adolescent in my care · Female · 2022-06-23
C97-19616-50299
Child or adolescent in my care · Female · 2022-08-03
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-02-17
Dose 2 — Pfizer-BioNTech
-
2021-11-05
Dose 3 — Pfizer-BioNTech
-
2021-11-07
Registered in v-safe
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Oropharyngeal pain — Feeling: FairFree text: Sore throat, dizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Oropharyngeal pain — Feeling: GoodFree text: Dizziness, slight sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-09-12
Dose 4 — Moderna
- 2022-09-12
-
2022-09-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-19
- 2022-09-28
-
2022-10-03
Survey response — day 21, dose 4MedDRA: Insomnia, Nasal congestion, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think I caught a cold from my toddler - stuffy nose, sore throat, achy, couldn't sleep.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-10
Survey response — day 28, dose 4MedDRA: Cough, Respiratory tract congestion, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion and cough - diagnosed with sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | No |
| 2 | 2021-02-17 | Pfizer-BioNTech | No |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
| 4 | 2022-09-12 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness
Systemic reaction (other): Sore throat, dizziness
Systemic reaction (other): Dizziness, slight sore throat
Release 12 — day 21, dose 4
Symptoms: I think I caught a cold from my toddler - stuffy nose, sore throat, achy, couldn't sleep.
Release 12 — day 28, dose 4
Symptoms: Congestion and cough - diagnosed with sinus infection
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 | Insomnia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release