XZX-25658-36377
4 vaccinations
2 coded responses
40 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 194 / PA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
DUZ-34289-00811
Child or adolescent in my care · Male · 2022-06-25
3T7-37917-17240
Child or adolescent in my care · Male · 2022-09-26
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Pfizer-BioNTech
- 2021-04-05
- 2021-04-06
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Pfizer-BioNTech
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-05
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-28
- 2021-10-25
-
2021-10-27
Dose 3 — Moderna
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-11
Survey response — day 14, dose 3MedDRA: Pregnancy, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Heartburn, but I'm pregnant so that's not shocking. Antacid helps.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold-like symptoms. Mild sore throat, congestion, runny nose. Tested negative twice on RATs.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
-
2022-09-12
Dose 4 — ModernaCo-administered: Flu
- 2022-09-23
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-12-12
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-09-12 | Moderna | Flu |
Free text
Release 10 — day 14, dose 3
Symptoms: Heartburn, but I'm pregnant so that's not shocking. Antacid helps.
Release 11 — 3 months, dose 3
Symptoms: Cold-like symptoms. Mild sore throat, congestion, runny nose. Tested negative twice on RATs.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release