T4W-24219-10220
3 vaccinations
1 coded response
16 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 492 / MI
- Registered
- 2021-12-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-15
Dose 2 — Moderna
-
2021-12-10
Registered in v-safe
-
2021-12-10
Dose 3 — Pfizer-BioNTech
- 2021-12-10
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-12-12
-
2021-12-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-17
Health check-in — day 7, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-12-24
- 2021-12-31
- 2022-01-07
-
2022-01-14
Survey response — day 35, dose 3MedDRA: Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Runny nose, congestion, headache, low feverMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-03-11
- 2022-06-10
- 2022-12-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | No |
| 2 | 2021-04-15 | Moderna | No |
| 3 | 2021-12-10 | Pfizer-BioNTech | No |
Free text
Release 10 — day 35, dose 3
Symptoms: Runny nose, congestion, headache, low fever
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 | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release