XHS-21683-94855
4 vaccinations
2 coded responses
45 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 973 / OR
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
695-26990-32498
Child or adolescent in my care · Female · 2023-02-21
Timeline
-
2021-04-12
Registered in v-safe
-
2021-04-12
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-16
- 2021-04-17
- 2021-04-21
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-10-29
Dose 2 — Moderna
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am now pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-07
- 2021-12-10
- 2022-01-28
-
2022-04-08
Dose 3 — Pfizer-BioNTech
- 2022-04-29
- 2022-04-30
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
-
2022-10-08
Dose 4 — Pfizer-BioNTech
- 2022-10-08
-
2022-10-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-22
-
2022-10-29
Survey response — day 21, dose 4MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: A cold; sore throat, congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2023-01-07
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Moderna | No |
| 3 | 2022-04-08 | Pfizer-BioNTech | No |
| 4 | 2022-10-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-03 | Unsuccessful |
Free text
Release 10 — day 35, dose 2
Symptoms: I am now pregnant.
Release 12 — day 21, dose 4
Symptoms: A cold; sore throat, congestion, cough
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 | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release