3KJ-25875-94817
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 917 / CA
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-20
Dose 1 — Pfizer-BioNTech
-
2020-12-21
Registered in v-safe
-
2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Maternal exposure during breast feeding, Maternal exposure during pregnancy — Feeling: Good · Site: PainFree text: I am currently pregnant and breastfeedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: GoodFree text: Insomnia on day one that I forgot to mentionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
-
2020-12-27
Survey response — day 7, dose 1MedDRA: Upper-airway cough syndrome — Feeling: Good · Fatigue or tirednessFree text: Increased post nasal dripMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Very slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 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
- 2021-07-12
-
2021-10-12
Dose 3 — Pfizer-BioNTech
-
2022-01-09
Survey response — 12 months, dose 2MedDRA: COVID-19, Impaired work ability, Malaise — Feeling: Good · Be unable to work or attend schoolFree text: Caught Covid-19. Mild symptoms but taken off work as an RNMedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-04-14
- 2022-10-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-20 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I am currently pregnant and breastfeeding
Systemic reaction (other): Insomnia on day one that I forgot to mention
Release 1 — day 7, dose 1
Systemic reaction (other): Increased post nasal drip
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Very slight headache
Release 10 — 12 months, dose 2
Symptoms: Caught Covid-19. Mild symptoms but taken off work as an RN
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 | COVID-19 | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Exposure during pregnancy | ○ | ○ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Maternal exposure during breast feeding | ✓ | ✓ | ✓ |
| SRO | Maternal exposure during pregnancy | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release