KVW-57689-29564
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2020-12-23
- 2020-12-24
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
- 2021-01-11
-
2021-01-12
Dose 2 — Pfizer-BioNTech
- 2021-01-18
- 2021-01-19
- 2021-01-28
- 2021-02-09
- 2021-02-16
- 2021-04-13
- 2021-07-13
-
2022-01-05
Dose 3 — Pfizer-BioNTech
-
2022-01-06
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: I am pregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-09
- 2022-01-10
- 2022-01-12
- 2022-01-21
-
2022-01-30
Survey response — day 21, dose 3MedDRA: Chills, Cough, Dyspnoea, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: fever chills cough shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-02
Survey response — day 28, dose 3MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: cough, fever, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Survey response — day 35, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: covid 19MedDRA releases: 2024-11 · check-in free text available
- 2022-02-16
- 2022-03-31
- 2022-04-08
- 2022-07-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2022-01-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am pregnant
Release 11 — day 21, dose 3
Symptoms: fever chills cough shortness of breath
Release 11 — day 28, dose 3
Symptoms: cough, fever, congestion
Release 11 — day 35, dose 3
Symptoms: covid 19
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release