Z6L-35978-26448
5 vaccinations
2 coded responses
14 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 750 / TX
- Registered
- 2022-06-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TS7-51365-50306
Child or adolescent in my care · Male · 2022-06-22
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-02-05
Dose 2 — Moderna
-
2021-11-22
Dose 3 — Moderna
-
2022-06-22
Registered in v-safe
-
2022-07-10
Dose 4 — Moderna
-
2022-10-28
Dose 5 — Pfizer-BioNTech
-
2022-10-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-30
- 2022-10-31
-
2022-11-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2022-11-02
- 2022-11-03
- 2022-11-04
-
2022-11-11
Survey response — day 14, dose 5MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Symptoms like fatigue and nausea are most likely related to pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-25
- 2022-12-02
-
2022-12-09
Survey response — day 42, dose 5MedDRA: Fatigue, Lacrimation increased, Respiratory tract congestion — Feeling: FairFree text: Fatigue, congestion, watery eyesMedDRA releases: 2024-11 · check-in free text available
- 2023-01-29
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | No |
| 2 | 2021-02-05 | Moderna | No |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-07-10 | Moderna | No |
| 5 | 2022-10-28 | Pfizer-BioNTech | No |
Free text
Release 12 — day 14, dose 5
Symptoms: Symptoms like fatigue and nausea are most likely related to pregnancy
Release 12 — day 42, dose 5
Symptoms: Fatigue, congestion, watery eyes
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 | Fatigue | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release