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HCJ-91076-10282

4 vaccinations 10 coded responses 44 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
537 / WI
Registered
2020-12-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
BEA-32479-00373 Child or adolescent in my care · Male · 2022-06-23
RQM-31882-15182 Child or adolescent in my care · Male · 2022-06-23

Timeline

  1. 2020-12-25
    Registered in v-safe
  2. 2020-12-25
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-25
    Survey response — day 0, dose 1
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnant, 8 w 1d di/di twins
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Pregnancy — Feeling: Good · Site: Pain · Headache
    Free text: Very mild headache. 10 w 6 d pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-01-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-13
    Survey response — 3 months, dose 2
    MedDRA: Oropharyngeal pain, Rhinorrhoea, Rhinovirus infection, SARS-CoV-2 test negative — Feeling: Good
    Free text: Caught rhinovirus and had runny nose and sore throat. Tested negative for COVID-19
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-25
    Dose 3 — Pfizer-BioNTech
  27. 2021-09-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2021-09-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  29. 2021-09-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-10-16
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  36. 2021-10-23
    Survey response — day 28, dose 3
    MedDRA: COVID-19, Rhinovirus infection, SARS-CoV-2 test positive, Viral upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school
    Free text: Viral URI. Rhinovirus and Coronavirus NL63 coinfection (confirmed by PCR)
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-10-30
    Survey response — day 35, dose 3
    MedDRA: Aphthous ulcer — Feeling: Fair
    Free text: Aphthous ulcer in the posterior oropharynx
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-06
    Survey response — day 42, dose 3
    MedDRA: Exposure to SARS-CoV-2, Rhinorrhoea, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school
    Free text: Runny nose. My husband has a breakthrough COVID infection and I'm waiting on my PCR result
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-12-25
    Survey response — 3 months, dose 3
    MedDRA: Exposure to SARS-CoV-2, Viral upper respiratory tract infection — Feeling: Good · Be unable to work or attend school
    Free text: Multiple viral URIs, none COVID. My husband had a breakthrough COVID infection which I did not catch in early November.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-03-26
    Survey response — 6 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: Caught Omicron
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-09-15
    Dose 4 — Pfizer-BioNTech
  42. 2022-09-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-09-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-10-20
    Survey response — day 35, dose 4
    MedDRA: Viral upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school
    Free text: Viral URI- likely RSV
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-10-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-12-15
    Survey response — 3 months, dose 4
    MedDRA: Influenza, Respiratory syncytial virus infection, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school
    Free text: Multiple viral URIs including RSV and Influenza A
    MedDRA releases: 2024-11 · check-in free text available
  49. 2023-03-16
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-25Pfizer-BioNTech
22021-01-12Pfizer-BioNTech
32021-09-25Pfizer-BioNTech No
42022-09-15Pfizer-BioNTech No

Free text

Release 1 — day 0, dose 1

2020-12-25

Systemic reaction (other): Pregnant, 8 w 1d di/di twins

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Very mild headache. 10 w 6 d pregnant

Release 7 — 3 months, dose 2

2021-04-13

Symptoms: Caught rhinovirus and had runny nose and sore throat. Tested negative for COVID-19

Release 10 — day 28, dose 3

2021-10-23

Symptoms: Viral URI. Rhinovirus and Coronavirus NL63 coinfection (confirmed by PCR)

Release 10 — day 35, dose 3

2021-10-30

Symptoms: Aphthous ulcer in the posterior oropharynx

Release 10 — day 42, dose 3

2021-11-06

Symptoms: Runny nose. My husband has a breakthrough COVID infection and I'm waiting on my PCR result

Release 10 — 3 months, dose 3

2021-12-25

Symptoms: Multiple viral URIs, none COVID. My husband had a breakthrough COVID infection which I did not catch in early November.

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Caught Omicron

Release 12 — day 35, dose 4

2022-10-20

Symptoms: Viral URI- likely RSV

Release 12 — 3 months, dose 4

2022-12-15

Symptoms: Multiple viral URIs including RSV and Influenza A

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

FieldPreferred term2021-092023-042024-11
SDAphthous ulcer · · ✓
SDCOVID-19 · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDInfluenza · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory syncytial virus infection · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDRhinovirus infection ✓ ✓ ✓
SDSARS-CoV-2 test · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDUpper respiratory tract infection · · ✓
SDViral upper respiratory tract infection · · ✓
SROExposure during pregnancy ○ ○ ○
SROHeadache ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release