WXN-19488-91325
5 vaccinations
3 coded responses
31 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 657 / MO
- Registered
- 2021-12-15
- Relationship
- Adult relative or friend
- Guardian
- 2FS-33847-29792
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-25
Dose 2 — Moderna
-
2021-12-14
Dose 3 — Moderna
-
2021-12-15
Registered in v-safe
-
2021-12-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-16
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-20
- 2021-12-23
- 2021-12-28
- 2022-01-08
- 2022-01-13
-
2022-01-18
Survey response — day 35, dose 3, dependentMedDRA: Fatigue — Feeling: FairFree text: TiredMedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
- 2022-03-15
- 2022-06-17
-
2022-07-17
Dose 4 — Pfizer-BioNTech
- 2022-07-17
-
2022-07-18
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-19
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-07-21
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Pre-existing disease, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny nose with allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-08-07
- 2022-08-16
- 2022-08-23
-
2022-10-03
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-06
- 2022-10-07
-
2022-10-09
Survey response — days 1–6 daily, dose 5, dependentMedDRA: Rhinorrhoea — Feeling: Good · HeadacheFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-10
- 2022-11-14
- 2023-01-02
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | No |
| 2 | 2021-02-25 | Moderna | No |
| 3 | 2021-12-14 | Moderna | No |
| 4 | 2022-07-17 | Pfizer-BioNTech | No |
| 5 | 2022-10-03 | Pfizer-BioNTech | Flu |
Free text
Release 10 — day 35, dose 3, dependent
Symptoms: Tired
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Runny nose with allergies
Release 12 — days 1–6 daily, dose 5, dependent
Systemic reaction (other): Runny nose
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 | Fatigue | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release