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UPU-17387-53386

5 vaccinations 2 coded responses 24 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
337 / FL
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
LM3-29304-50662 Child or adolescent in my care · Female · 2022-06-28
EBG-29628-97065 Child or adolescent in my care · Male · 2022-06-28
W3Q-26184-97922 Child or adolescent in my care · Female · 2022-06-28
U8X-26698-88681 Child or adolescent in my care · Female · 2023-03-22

Timeline

  1. 2020-12-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-19
    Dose 2 — Pfizer-BioNTech
  3. 2021-03-24
    Registered in v-safe
  4. 2021-04-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-07-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-09-29
    Dose 3 — Pfizer-BioNTech
  7. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea
    Adult check-in
  8. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Good
    Free text: Axillary discomfort (?lymphatic)
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-10-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-10-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-10-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-11-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-12-29
    Survey response — 3 months, dose 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Cold
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-03-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-06-17
    Dose 4 — Moderna
  21. 2022-06-28
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2022-07-01
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-07-08
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-07-15
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-07-22
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-07-29
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-09-16
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  28. 2022-10-16
    Dose 5 — Moderna
  29. 2022-12-16
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in
  30. 2023-04-18
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Pfizer-BioNTech
22021-01-19Pfizer-BioNTech
32021-09-29Pfizer-BioNTech No
42022-06-17Moderna No
52022-10-16Moderna No

Free text

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Axillary discomfort (?lymphatic)

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Cold

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

FieldPreferred term2021-092023-042024-11
SDNasopharyngitis · · ✓
SROAxillary pain · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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