KX4-11203-25117
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 460 / IN
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Pfizer-BioNTech
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-06
- 2021-03-13
-
2021-03-20
Survey response — day 21, dose 1MedDRA: Hypersensitivity, Rash — Feeling: FairFree text: Allergic reaction-skin rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Dose 2 — Pfizer-BioNTech
- 2021-03-27
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-05-02
-
2021-06-22
Survey response — 3 months, dose 2MedDRA: Cardiac disorder, Premature delivery — Feeling: Good · Be unable to work or attend schoolFree text: At 23 weeks gestation, I delivered my daughter due to heart complications.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-19
- 2022-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-21 | Pfizer-BioNTech |
Free text
Release 6 — day 21, dose 1
Symptoms: Allergic reaction-skin rash
Release 9 — 3 months, dose 2
Symptoms: At 23 weeks gestation, I delivered my daughter due to heart complications.
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 | Cardiac disorder | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Premature delivery | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release