W54-31086-91659
4 vaccinations
4 coded responses
44 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 775 / TX
- Registered
- 2020-12-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-15
Registered in v-safe
-
2020-12-15
Dose 1 — Pfizer-BioNTech
- 2020-12-15
- 2020-12-16
- 2020-12-17
- 2020-12-18
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-29
-
2021-01-05
Dose 2 — Pfizer-BioNTech
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-14
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-04-06
- 2021-07-06
-
2022-01-07
Dose 3 — Moderna
- 2022-01-07
- 2022-01-07
- 2022-01-08
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-12
- 2022-01-13
- 2022-01-14
- 2022-01-21
- 2022-01-28
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-04-08
- 2022-07-08
-
2022-09-17
Dose 4 — ModernaCo-administered: Flu
-
2022-10-11
Survey response — day 21, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold: congestion, runny nose, cough. COVID negative by rapid test twiceMedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-22
-
2022-10-29
Survey response — day 42, dose 4MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Congestion, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-12-19
Survey response — 3 months, dose 4MedDRA: Food poisoning, Rhinorrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runny nose for a few days Vomiting 1 night (likely food poisoning) Separate eventsMedDRA releases: 2024-11 · check-in free text available
-
2023-03-18
Survey response — 6 months, dose 4MedDRA: COVID-19, Respiratory disorder — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-15 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech | |
| 3 | 2022-01-07 | Moderna | No |
| 4 | 2022-09-17 | Moderna | Flu |
Free text
Release 12 — day 21, dose 4
Symptoms: Cold: congestion, runny nose, cough. COVID negative by rapid test twice
Release 12 — day 42, dose 4
Symptoms: Congestion, runny nose
Release 12 — 3 months, dose 4
Symptoms: Runny nose for a few days Vomiting 1 night (likely food poisoning) Separate events
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 | COVID-19 | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release