CZK-30796-46331
4 vaccinations
3 coded responses
28 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 064 / CT
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TT4-10047-92187
Child or adolescent in my care · Female · 2022-06-26
Timeline
-
2021-04-09
Dose 1 — Pfizer-BioNTech
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 2 — Pfizer-BioNTech
-
2021-04-30
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
-
2021-07-30
Survey response — 3 months, dose 2MedDRA: Flank pain — Feeling: FairFree text: Pain on left side with breathingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-29
-
2021-11-11
Dose 3 — Pfizer-BioNTech
- 2022-05-01
-
2022-07-28
Dose 4 — Moderna
-
2022-07-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-07-31
- 2022-08-01
- 2022-08-02
-
2022-08-03
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Good · Fatigue or tirednessFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-08-04
- 2022-08-11
- 2022-08-18
-
2022-08-25
Survey response — day 28, dose 4MedDRA: Delivery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Gave birth.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-25
Report sent to call center — day 28, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-08-26
- 2022-09-01
- 2022-09-08
- 2023-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2022-07-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: Pain on left side with breathing
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Pregnancy
Release 12 — day 28, dose 4
Symptoms: Gave birth.
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 | Delivery | · | · | ✓ |
| SD | Flank pain | ✓ | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release