FKE-17866-88586
4 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 111 / NY
- Registered
- 2021-10-03
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3YV-12073-64395
Child or adolescent in my care · Female · 2022-09-22
Timeline
-
2020-12-16
Dose 1 — Pfizer-BioNTech
-
2021-01-06
Dose 2 — Pfizer-BioNTech
-
2021-10-03
Registered in v-safe
-
2021-10-08
Dose 3 — Pfizer-BioNTech
-
2021-10-08
Survey response — day 0, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Increased heart rateMedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Resting heart rate 112 vs 80 at baselineMedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: Pain · HeadacheFree text: Elevated heart rate around 100MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-13
-
2021-10-14
Survey response — days 1–6 daily, dose 3MedDRA: Emergency care, Foetal hypokinesia — Feeling: Good · Be unable to work or attend schoolFree text: Decreased fetal movement following shot last Friday. Currently at hospital for nonstress test for baby.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-15
- 2021-10-22
- 2021-10-29
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2021-11-05
Survey response — day 28, dose 3MedDRA: Amniotic fluid volume increased, Pregnancy — Feeling: GoodFree text: Elevated amniotic fluid in my pregnancy - will likely need to be induced a week earlyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
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2021-11-19
Survey response — day 42, dose 3MedDRA: Complication of 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: I gave birth with complications two days agoMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — day 42, dose 3Be 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)
- 2021-11-22
- 2022-01-09
- 2022-04-08
-
2022-09-30
Dose 4 — Moderna
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2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-16
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | No |
| 2 | 2021-01-06 | Pfizer-BioNTech | No |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-09-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Increased heart rate
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Resting heart rate 112 vs 80 at baseline
Systemic reaction (other): Elevated heart rate around 100
Systemic reaction (other): Decreased fetal movement following shot last Friday. Currently at hospital for nonstress test for baby.
Release 10 — day 28, dose 3
Symptoms: Elevated amniotic fluid in my pregnancy - will likely need to be induced a week early
Release 10 — day 42, dose 3
Symptoms: I gave birth with complications two days ago
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 | Amniotic fluid volume increased | · | · | ✓ |
| SD | Complication of delivery | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Foetal hypokinesia | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release