69S-14252-31403
4 vaccinations
4 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 400 / KY
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
WJ3-24599-23888
Child or adolescent in my care · Female · 2022-07-19
Timeline
-
2021-01-02
Dose 1 — Pfizer-BioNTech
-
2021-01-23
Dose 2 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
- 2021-04-26
-
2021-04-27
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-07-24
-
2021-10-29
Dose 3 — Pfizer-BioNTech
-
2022-10-27
Dose 4 — Pfizer-BioNTech
- 2022-10-29
-
2022-10-29
Survey response — 12 months, dose 3MedDRA: Cough, SARS-CoV-2 test positive, Sputum discoloured — Feeling: Good · Be unable to work or attend schoolFree text: In June-July for 5 weeks I had coughing and yellow sputum and respiratory pathogen panel positive only for Covid-19 virus (teated by PCR). Now asymptomatic. Got 4th dose Pfizer bivalent Covid-19 vaccine on 10/27/22. 2nd dose monkeypox vaccine 9/24.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
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2022-12-08
Survey response — day 42, dose 4MedDRA: Diarrhoea, Exposure to communicable disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Multiple episodes of nonbloody diarrhea started today in the morning and ao far completely resolved. Known recently sick contacts who have recovered include husband and 21 month old daughter who both vomited and had diarrhea both less than 24 hrs.MedDRA releases: 2024-11 · check-in free text available
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2023-01-28
Survey response — 3 months, dose 4MedDRA: Dry skin, Erythema, Lymph node pain, Scab — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-27
Survey response — 6 months, dose 4MedDRA: Nasal congestion, Nasal discharge discolouration, SARS-CoV-2 test negative, Sputum discoloured — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Pfizer-BioNTech | |
| 2 | 2021-01-23 | Pfizer-BioNTech | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-10-27 | Pfizer-BioNTech | No |
Free text
Release 12 — 12 months, dose 3
Symptoms: In June-July for 5 weeks I had coughing and yellow sputum and respiratory pathogen panel positive only for Covid-19 virus (teated by PCR). Now asymptomatic. Got 4th dose Pfizer bivalent Covid-19 vaccine on 10/27/22. 2nd dose monkeypox vaccine 9/24. cut off by CDC
Release 12 — day 42, dose 4
Symptoms: Multiple episodes of nonbloody diarrhea started today in the morning and ao far completely resolved. Known recently sick contacts who have recovered include husband and 21 month old daughter who both vomited and had diarrhea both less than 24 hrs.
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 | Diarrhoea | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasal discharge discolouration | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Scab | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release