29P-15901-17718
3 vaccinations
2 coded responses
38 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 615 / IL
- Registered
- 2021-06-12
- Relationship
- Child or adolescent in my care
- Guardian
- BJN-28810-36529
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-11
Dose 1 — Pfizer-BioNTech
-
2021-06-12
Registered in v-safe
-
2021-06-12
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Entire arm received vaccine in sore. Sharp shooting pain down arm at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-06-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-06-15
- 2021-06-16
- 2021-06-17
- 2021-06-18
- 2021-06-25
-
2021-07-02
Dose 2 — Pfizer-BioNTech
-
2021-07-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-07-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-07-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-07-06
- 2021-07-07
- 2021-07-08
- 2021-07-09
- 2021-07-16
- 2021-07-23
- 2021-07-30
- 2021-08-06
- 2021-08-13
- 2021-10-01
- 2021-12-31
-
2022-01-13
Dose 3 — Pfizer-BioNTech
- 2022-01-13
-
2022-01-14
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-16
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-01-17
- 2022-01-18
- 2022-01-19
- 2022-01-20
-
2022-01-27
Survey response — day 14, dose 3, dependentMedDRA: Cough, Dizziness, Fatigue, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend schoolFree text: Short throat, cough, fatigue, headache, dizziness.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
- 2022-02-10
- 2022-02-17
- 2022-02-24
- 2022-04-14
- 2022-07-14
- 2023-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-11 | Pfizer-BioNTech | |
| 2 | 2021-07-02 | Pfizer-BioNTech | No |
| 3 | 2022-01-13 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Entire arm received vaccine in sore. Sharp shooting pain down arm at times.
Release 11 — day 14, dose 3, dependent
Symptoms: Short throat, cough, fatigue, headache, dizziness.
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 | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release