XAT-21040-85743
4 vaccinations
8 coded responses
54 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
EJW-31584-23934
Child or adolescent in my care · Female · 2021-11-13
EVH-22687-01037
Child or adolescent in my care · Female · 2022-06-24
Timeline
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2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Pfizer-BioNTech
- 2021-04-23
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Injection site tender to touch but otherwise fine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
-
2021-05-14
Dose 2 — Pfizer-BioNTech
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2021-05-14
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Tiny sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Little sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
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2021-06-04
Survey response — day 21, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: I am a week late on my period. Never been this late before unless I was pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Survey response — day 28, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-12
-
2021-12-07
Dose 3 — ModernaCo-administered: Tetanus
- 2021-12-07
- 2021-12-08
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2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-03-08
- 2022-06-07
-
2022-09-28
Dose 4 — ModernaCo-administered: Flu
- 2022-09-28
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2022-09-29
Survey response — days 1–6 daily, dose 4MedDRA: Palpitations — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Heart palpitationsMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-01
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2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-05
Health check-in — day 7, dose 4Feeling: Good · Headache, Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Pfizer-BioNTech | |
| 2 | 2021-05-14 | Pfizer-BioNTech | |
| 3 | 2021-12-07 | Moderna | Tetanus |
| 4 | 2022-09-28 | Moderna | Flu |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site tender to touch but otherwise fine!
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Tiny sore throat
Systemic reaction (other): Little sore throat
Systemic reaction (other): Sore throat
Release 8 — day 7, dose 2
Systemic reaction (other): Sore throat
Release 8 — day 21, dose 2
Symptoms: I am a week late on my period. Never been this late before unless I was pregnant.
Release 9 — day 28, dose 2
Symptoms: Pregnancy
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Heart palpitations
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 | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release