XZX-26956-67152
4 vaccinations
3 coded responses
31 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 992 / WA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-23
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-07-19
- 2021-10-18
-
2022-03-28
Dose 3 — Pfizer-BioNTechCo-administered: Do not remember
-
2022-04-19
Survey response — 12 months, dose 2MedDRA: Cough, Nasopharyngitis — Feeling: GoodFree text: Had a cold/coughMedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Dose 4 — ModernaCo-administered: Flu:Tetanus
- 2022-09-28
-
2022-10-04
Survey response — day 14, dose 4MedDRA: Cough, Headache, Nasopharyngitis, Rhinorrhoea — Feeling: FairFree text: I have a cold: mild cough, nasal drainage, slight headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — day 21, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2022-03-28 | Pfizer-BioNTech | Do not remember |
| 4 | 2022-09-20 | Moderna | Flu:Tetanus |
Free text
Release 11 — 12 months, dose 2
Symptoms: Had a cold/cough
Release 12 — day 14, dose 4
Symptoms: I have a cold: mild cough, nasal drainage, slight headache
Release 12 — day 21, dose 4
Symptoms: Pregnancy
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release