Z6X-17119-88185
4 vaccinations
7 coded responses
49 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 631 / MO
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ETC-66731-16649
Child or adolescent in my care · Female · 2022-07-24
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Limb discomfort — Feeling: Good · HeadacheFree text: The arm I got the shot in is sore, but not painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache is most likely linked to allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, NauseaAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-10
Survey response — day 14, dose 2MedDRA: Dizziness, Headache, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: What I would describe as a common cold. I had a bad sore throat, headache, dizziness, but no fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-25
-
2021-12-10
Dose 3 — Moderna
-
2021-12-10
Survey response — day 0, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Just a sore arm in the arm I received the shotMedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-15
- 2021-12-19
- 2021-12-24
- 2021-12-31
-
2022-01-07
Survey response — day 28, dose 3MedDRA: Fatigue, Headache — Feeling: FairFree text: Extra tired and a slight headache.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
-
2022-01-21
Survey response — day 42, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Sore joints especially in my fingers the last few weeks.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-11
-
2022-06-10
Survey response — 6 months, dose 3MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative, Secretion discharge — Feeling: Good · Be unable to work or attend schoolFree text: I had a bad cold for a few days, lots of coughing, and later mucous. I had negative Covid tests for 3 weeks (the last few weeks of May).MedDRA releases: 2024-11 · check-in free text available
-
2022-08-08
Dose 4 — Moderna
- 2022-08-10
- 2022-08-11
- 2022-08-12
- 2022-08-14
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-09-21
- 2022-11-07
- 2023-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-08-08 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): The arm I got the shot in is sore, but not painful.
Systemic reaction (other): Headache is most likely linked to allergies
Release 7 — day 14, dose 2
Symptoms: What I would describe as a common cold. I had a bad sore throat, headache, dizziness, but no fever.
Release 10 — day 0, dose 3
Systemic reaction (other): Just a sore arm in the arm I received the shot
Release 10 — day 28, dose 3
Symptoms: Extra tired and a slight headache.
Release 11 — day 42, dose 3
Symptoms: Sore joints especially in my fingers the last few weeks.
Release 12 — 6 months, dose 3
Symptoms: I had a bad cold for a few days, lots of coughing, and later mucous. I had negative Covid tests for 3 weeks (the last few weeks of May).
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 | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release