753-17159-21452
3 vaccinations
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 600 / IL
- Registered
- 2021-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
E8S-14917-87792
Child or adolescent in my care · Male · 2021-12-31
463-18301-78300
Child or adolescent in my care · Female · 2022-06-20
Timeline
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-04-28
Dose 2 — Pfizer-BioNTech
-
2021-11-03
Dose 3 — Pfizer-BioNTechCo-administered: Flu:Tetanus
-
2021-12-31
Registered in v-safe
- 2022-02-02
-
2022-05-04
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Survey response — 12 months, dose 3MedDRA: COVID-19, Delivery, Postpartum state — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Postpartum-gave birth 2 weeks ago Contracted covid 19MedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | No |
| 2 | 2021-04-28 | Pfizer-BioNTech | No |
| 3 | 2021-11-03 | Pfizer-BioNTech | Flu:Tetanus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-03 | Unsuccessful |
Free text
Release 11 — 6 months, dose 3
Symptoms: Pregnancy
Release 12 — 12 months, dose 3
Symptoms: Postpartum-gave birth 2 weeks ago Contracted covid 19
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 | Delivery | · | · | ✓ |
| SD | Postpartum state | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release