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
-
2021-12-22
Dose 1 — Pfizer-BioNTech
-
2022-01-12
Dose 2 — Pfizer-BioNTech
-
2022-06-25
Registered in v-safe
-
2022-06-25
Dose 3 — Pfizer-BioNTech
- 2022-06-25
-
2022-06-26
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Mood altered — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
-
2022-06-28
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-29
- 2022-07-01
- 2022-07-02
- 2022-07-09
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-09-24
-
2022-12-24
Health check-in — 6 month, dose 3, dependentFeeling: 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 visitAdult check-in
- 2022-12-24
- 2022-12-28
- 2023-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-22 | Pfizer-BioNTech | No |
| 2 | 2022-01-12 | Pfizer-BioNTech | No |
| 3 | 2022-06-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Mood altered | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release