XZN-27657-54657
4 vaccinations
8 coded responses
46 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 460 / IN
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
F67-71310-81638
Child or adolescent in my care · Female · 2021-11-11
65P-23105-67921
Child or adolescent in my care · Female · 2021-11-11
Timeline
-
2021-03-16
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: GoodFree text: I am breastfeeding a 3-month old. She also is doing well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
-
2021-04-05
Dose 2 — Pfizer-BioNTech
-
2021-04-05
Survey response — day 0, dose 2MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: I'm breastfeeding a 4 month old, she's doing fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-05-03
Survey response — day 28, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: Cold symptoms, not likely related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-11-19
Dose 3 — Moderna
- 2021-11-19
- 2021-11-20
- 2021-11-21
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Breast feeding — Feeling: GoodFree text: My nursing baby was definitely under the weather last night and today. Maybe a coincidence, but an interesting data point?MedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-19
-
2021-12-26
Survey response — day 35, dose 3MedDRA: Aphonia, Nasal congestion, Paranasal sinus discomfort, Productive cough — Feeling: FairFree text: Wet/chest cough, stuffy nose/sinus pressure, lost voiceMedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-02-18
- 2022-05-20
-
2022-10-07
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-16
Survey response — day 7, dose 4MedDRA: Chills, Fatigue, Injection site pain, Myalgia, Pain, Pyrexia — Feeling: GoodFree text: The night after I got the shot, I did have pain at injection site, chills, muscle/body aches, fever, and fatigue. I was fine by 24 hours after the shots.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
-
2022-10-28
Survey response — day 21, dose 4MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: GoodFree text: Chest cough, congestion, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Survey response — day 28, dose 4MedDRA: Gastroenteritis viral — Feeling: GoodFree text: Stomach bugMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-07 | Pfizer-BioNTech | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I am breastfeeding a 3-month old. She also is doing well.
Release 6 — day 0, dose 2
Systemic reaction (other): I'm breastfeeding a 4 month old, she's doing fine.
Release 8 — day 28, dose 2
Symptoms: Cold symptoms, not likely related to the vaccine.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My nursing baby was definitely under the weather last night and today. Maybe a coincidence, but an interesting data point?
Release 10 — day 35, dose 3
Symptoms: Wet/chest cough, stuffy nose/sinus pressure, lost voice
Release 12 — day 7, dose 4
Systemic reaction (other): The night after I got the shot, I did have pain at injection site, chills, muscle/body aches, fever, and fatigue. I was fine by 24 hours after the shots.
Release 12 — day 21, dose 4
Symptoms: Chest cough, congestion, fatigue
Release 12 — day 28, dose 4
Symptoms: Stomach bug
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 | Aphonia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release