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226-69785-90170

3 vaccinations 1 coded response 13 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
05-11
ZIP prefix
441 / OH
Registered
2022-06-25
Relationship
Child or adolescent in my care
Guardian
XWF-64488-30982
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-22
    Dose 1 — Pfizer-BioNTech
  2. 2022-01-12
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-25
    Registered in v-safe
  4. 2022-06-25
    Dose 3 — Pfizer-BioNTech
  5. 2022-06-25
    Health check-in — 0 day, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-06-26
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Mood altered — Feeling: Good · Site: Pain
    MedDRA releases: 2024-11 · check-in answers available
  7. 2022-06-28
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2022-06-29
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-01
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-02
    Health check-in — 7 day, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-07-09
    Health check-in — 14 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-07-23
    Health check-in — 28 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-07-30
    Health check-in — 35 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-08-06
    Health check-in — 42 day, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2022-09-24
    Health check-in — 3 month, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-12-24
    Health check-in — 6 month, dose 3, dependent
    Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  17. 2022-12-24
  18. 2022-12-28
  19. 2023-06-25

Vaccinations

DoseDateManufacturerCo-administered
12021-12-22Pfizer-BioNTech No
22022-01-12Pfizer-BioNTech No
32022-06-25Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-12-24 Unsuccessful

Free text

Release 12

Systemic reaction (other): Moody, not sure if this is due to some pain that she can't really describe

Symptoms: Influenza

Free-text releases are not linked to a specific 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
SROMood altered · · ✓

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