W5G-26392-16633
5 vaccinations
8 coded responses
38 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 444 / OH
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5AB-11525-63329
Child or adolescent in my care · Female · 2021-11-07
VVK-55425-94784
Child or adolescent in my care · Male · 2022-07-22
Timeline
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2021-03-24
Registered in v-safe
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2021-03-26
Dose 1 — Moderna
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain in jaw — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Jaw painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-02
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2021-04-09
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Bullseye rash at the vaccination siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-04-23
Dose 2 — Moderna
- 2021-04-23
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Constipation, Dyspnoea, Ear pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ear ache, constipation, difficulty breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity, Nasal congestion — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Allergies (stuffy nose, etc)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Seasonal allergy — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: Seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-23
- 2021-10-22
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2021-11-20
Dose 3 — Pfizer-BioNTech
- 2022-04-23
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2022-05-23
Survey response — 6 months, dose 3MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-22
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2022-09-23
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-09-25
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node under armMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-29
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2022-11-03
Survey response — day 42, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: I'm pregnantMedDRA releases: 2024-11 · check-in free text available
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2022-12-19
Dose 5 — Pfizer-BioNTech
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
| 4 | 2022-09-22 | Pfizer-BioNTech | Flu |
| 5 | 2022-12-19 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Jaw pain
Release 7 — day 14, dose 1
Symptoms: Bullseye rash at the vaccination site
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Ear ache, constipation, difficulty breathing
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Allergies (stuffy nose, etc)
Systemic reaction (other): Seasonal allergies
Release 11 — 6 months, dose 3
Symptoms: Cough
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph node under arm
Release 12 — day 42, dose 4
Symptoms: I'm pregnant
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 | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release