PW9-16135-51287
4 vaccinations
4 coded responses
54 check-ins
4 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 977 / OR
- Registered
- 2020-12-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MF8-11875-35879
Child or adolescent in my care · Male · 2022-06-30
Timeline
-
2020-12-16
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
-
2021-01-08
Survey response — day 0, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: PainFree text: Hand numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-11-30
Dose 3 — Pfizer-BioNTech
- 2021-11-30
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
-
2022-01-04
Survey response — day 35, dose 3MedDRA: Chills, Headache, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vomiting, fever, chills, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-03-01
- 2022-05-31
-
2022-10-27
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-27
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
| 4 | 2022-10-27 | Pfizer-BioNTech | Flu |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Hand numbness
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 10 — day 35, dose 3
Symptoms: Vomiting, fever, chills, headache
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 | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release