3N9-14146-09085
3 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 680 / NE
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
UXS-27636-10306
Child or adolescent in my care · Male · 2022-07-21
C6F-10739-90810
Child or adolescent in my care · Female · 2022-07-21
Timeline
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2021-01-05
Registered in v-safe
- 2021-01-05
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Poor quality sleep — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Poor sleep last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
-
2021-01-15
Survey response — days 1–6 daily, dose 2MedDRA: Poor quality sleep, Pregnancy — Feeling: Fair · Headache, Fatigue or tirednessFree text: Did not sleep well but Im 37 weeks pregnant so likely from that and not at all from the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — day 7, dose 2MedDRA: Abdominal pain, Pregnancy — Feeling: Good · Abdominal painFree text: Pregnant and feel abdominal pain is from this (almost 38 weeks)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — day 14, dose 2MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Delivered my baby (38 weeks/6days)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Survey response — day 42, dose 2MedDRA: Laryngitis, Upper respiratory tract infection — Feeling: FairFree text: Upper respiratory infection/laryngitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-04-12
- 2021-07-12
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-04
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
-
2021-12-25
Survey response — 3 months, dose 3MedDRA: Cough, Headache, Pyrexia, Respiratory symptom, Respiratory tract congestion — Feeling: PoorFree text: URI sx, cough, congestion, HA, feversMedDRA releases: 2024-11 · check-in free text available
- 2022-03-26
- 2022-09-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-26 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Poor sleep last night
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Did not sleep well but Im 37 weeks pregnant so likely from that and not at all from the vaccine
Release 2 — day 7, dose 2
Systemic reaction (other): Pregnant and feel abdominal pain is from this (almost 38 weeks)
Release 2 — day 14, dose 2
Symptoms: Delivered my baby (38 weeks/6days)
Release 4 — day 42, dose 2
Symptoms: Upper respiratory infection/laryngitis
Release 10 — 3 months, dose 3
Symptoms: URI sx, cough, congestion, HA, fevers
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 | Delivery | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Laryngitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ○ | ○ | ○ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release