KCC-23646-83354
4 vaccinations
4 coded responses
45 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 554 / MN
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8EC-30707-48564
Child or adolescent in my care · Female · 2022-06-23
PA2-85579-94421
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-22
Registered in v-safe
- 2020-12-22
- 2020-12-24
- 2020-12-25
- 2020-12-27
- 2020-12-28
- 2021-01-06
-
2021-01-07
Dose 2 — Pfizer-BioNTech
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to workAdult check-in
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-04-08
- 2021-07-08
-
2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-09-28
-
2021-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
-
2021-10-19
Survey response — day 21, dose 3MedDRA: Urinary tract infection — Feeling: GoodFree text: Urinary tract infection on 10/18MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-28
-
2022-03-29
Survey response — 6 months, dose 3MedDRA: COVID-19, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Fever, covidMedDRA releases: 2024-11 · check-in free text available
-
2022-09-18
Dose 4 — ModernaCo-administered: Flu
- 2022-09-28
- 2022-09-28
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
-
2022-12-18
Survey response — 3 months, dose 4MedDRA: Abortion spontaneous, Retained placenta or membranes, Uterine dilation and curettage — 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 · Emergency room or emergency department visitFree text: I had a miscarriage on December 8th at 14.5 weeks pregnant. I required a D&C procedure for retained placenta. I don't believe it was related to Covid illness or the Covid vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-12-20
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-09-18 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-08 | priority 2/3 | |
| 2022-12-18 | Unsuccessful |
Free text
Release 10 — day 21, dose 3
Symptoms: Urinary tract infection on 10/18
Release 11 — 6 months, dose 3
Symptoms: Fever, covid
Release 12 — 3 months, dose 4
Symptoms: I had a miscarriage on December 8th at 14.5 weeks pregnant. I required a D&C procedure for retained placenta. I don't believe it was related to Covid illness or the Covid vaccine.
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 | Abortion spontaneous | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Retained placenta or membranes | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release