CQ5-30971-63200
4 vaccinations
2 coded responses
30 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 945 / CA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XLC-22081-01470
Child or adolescent in my care · Male · 2022-07-14
Timeline
-
2020-12-26
Dose 1 — Pfizer-BioNTech
-
2021-01-17
Dose 2 — Pfizer-BioNTech
-
2021-01-18
Registered in v-safe
-
2021-01-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-24
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-04-19
- 2021-07-18
-
2021-11-01
Dose 3 — Moderna
- 2022-01-17
- 2022-01-31
-
2022-05-02
Survey response — 6 months, dose 3MedDRA: COVID-19, Second trimester pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Covid during second trimester pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-03
-
2022-09-22
Dose 4 — Pfizer-BioNTech
- 2022-09-22
-
2022-09-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 28, dose 4MedDRA: Delivery, Hospitalisation — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Was pregnant at time of vaccination. Delivered full term infant (41 weeks ) on 10/13/22 without complications for either mother or baby. · Healthcare visit (other): Labor/delivery/postpartum unitMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-10-21
Call successfulParticipant prefers to complete VAERS report online
-
2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-27
- 2022-11-03
- 2022-12-24
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Pfizer-BioNTech | |
| 2 | 2021-01-17 | Pfizer-BioNTech | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 11 — 6 months, dose 3
Symptoms: Covid during second trimester pregnancy
Release 12 — day 28, dose 4
Symptoms: Was pregnant at time of vaccination. Delivered full term infant (41 weeks ) on 10/13/22 without complications for either mother or baby.
Healthcare visit (other): Labor/delivery/postpartum unit
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 |
|---|---|---|---|---|
| HCVO | Delivery | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Second trimester pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release