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W79-14630-99839

4 vaccinations 3 coded responses 30 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
212 / MD
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
HA2-12682-11619 Child or adolescent in my care · Female · 2022-06-23
6F5-19690-36113 Child or adolescent in my care · Male · 2022-06-23

Timeline

  1. 2020-12-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-17
    Registered in v-safe
  3. 2021-01-17
    Dose 2 — Pfizer-BioNTech
  4. 2021-01-17
    Survey response — day 0, dose 2
    MedDRA: Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain
    Free text: Sneezing and runny nose started this evening but I think its because of my daughters (Covid negative) cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good · Site: Pain
    Free text: Runny nose from cold I got from my daughter- not from vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-01-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-01-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-29
    Dose 3 — Pfizer-BioNTech
  18. 2021-09-29
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  19. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue — Feeling: Good
    Free text: Last night very fatigued but felt good when I woke up
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-10-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-10-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-10-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-03-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-09-29
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-10-10
    Dose 4 — Moderna
  35. 2023-04-10
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-27Pfizer-BioNTech
22021-01-17Pfizer-BioNTech
32021-09-29Pfizer-BioNTech No
42022-10-10Moderna No

Free text

Release 2 — day 0, dose 2

2021-01-17

Systemic reaction (other): Sneezing and runny nose started this evening but I think its because of my daughters (Covid negative) cold

Release 2 — days 1–6 daily, dose 2

2021-01-18

Systemic reaction (other): Runny nose from cold I got from my daughter- not from vaccine

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Last night very fatigued but felt good when I woke up

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
SROFatigue · · ✓
SRONasopharyngitis ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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

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