WQZ-19427-93581
4 vaccinations
3 coded responses
48 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 794 / TX
- Registered
- 2021-06-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
G8S-23727-04004
Child or adolescent in my care · Female · 2022-06-23
Timeline
-
2021-06-30
Registered in v-safe
-
2021-06-30
Dose 1 — Pfizer-BioNTech
- 2021-06-30
-
2021-07-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-07-02
- 2021-07-03
- 2021-07-04
- 2021-07-05
- 2021-07-06
- 2021-07-07
- 2021-07-14
-
2021-07-21
Dose 2 — Pfizer-BioNTech
- 2021-07-21
-
2021-07-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-07-23
- 2021-07-24
- 2021-07-25
- 2021-07-26
- 2021-07-27
- 2021-07-28
- 2021-08-04
- 2021-08-11
- 2021-08-18
- 2021-08-25
- 2021-09-01
- 2021-10-20
-
2022-01-14
Dose 3 — Moderna
-
2022-01-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-16
- 2022-01-17
- 2022-01-18
- 2022-01-19
- 2022-01-20
- 2022-01-21
- 2022-01-28
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-02-25
- 2022-04-15
- 2022-07-15
-
2022-10-19
Dose 4 — ModernaCo-administered: Flu
- 2022-10-23
-
2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-11-16
Survey response — day 28, dose 4MedDRA: Influenza like illness, Influenza virus test negative, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Flu-like symptoms but tested negative for both flu and Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
-
2022-11-30
Survey response — day 42, dose 4MedDRA: Fatigue, Pain, Pyrexia — Feeling: GoodFree text: Fever, fatigue, achinessMedDRA releases: 2024-11 · check-in free text available
-
2023-01-18
Survey response — 3 months, dose 4MedDRA: Asthma, Nasopharyngitis, Respiratory disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-18
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-19
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-30 | Pfizer-BioNTech | No |
| 2 | 2021-07-21 | Pfizer-BioNTech | No |
| 3 | 2022-01-14 | Moderna | No |
| 4 | 2022-10-19 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-18 | Unsuccessful |
Free text
Release 12 — day 28, dose 4
Symptoms: Flu-like symptoms but tested negative for both flu and Covid.
Release 12 — day 42, dose 4
Symptoms: Fever, fatigue, achiness
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 | Asthma | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release