XQ6-77824-37177
4 vaccinations
4 coded responses
52 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 191 / PA
- Registered
- 2020-12-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8DS-40482-30536
Child or adolescent in my care · Female · 2022-07-19
Timeline
-
2020-12-19
Dose 1 — Pfizer-BioNTech
-
2020-12-20
Registered in v-safe
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2021-01-02
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-04-09
- 2021-07-09
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
-
2021-10-17
Survey response — day 14, dose 3MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: GI symptoms. Possibly food poisoning.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-12-31
Survey response — 3 months, dose 3MedDRA: Adverse reaction, Gastrointestinal disorder, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Allergy and sinus symptoms. GI symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-07
- 2022-04-01
-
2022-09-23
Dose 4 — Moderna
- 2022-09-23
-
2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
-
2022-09-29
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: I got a flu shot today!MedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
-
2022-12-23
Survey response — 3 months, dose 4MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a stomach bug. It was not covid.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-31 | Unsuccessful |
Free text
Release 10 — day 14, dose 3
Symptoms: GI symptoms. Possibly food poisoning.
Release 10 — 3 months, dose 3
Symptoms: Allergy and sinus symptoms. GI symptoms
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I got a flu shot today!
Release 12 — 3 months, dose 4
Symptoms: I had a stomach bug. It was not covid.
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 | Adverse reaction | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release