325-26704-07462
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 544 / WI
- Registered
- 2021-11-05
- Relationship
- Child or adolescent in my care
- Guardian
- 77E-47588-16485
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-04
Dose 1 — Pfizer-BioNTech
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2021-11-05
Registered in v-safe
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2021-11-05
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
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2021-11-06
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pyrexia, Vomiting — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, Vomiting, Diarrhea · Be unable to do your normal daily activitiesFree text: Fever & vomiting occurred 27 hours after vaccine. There may be another virus going around our family though.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 1, dependentMedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Tested positive for Covid 1.5 days after vaccine. Symptoms began 20 hours after vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 1, dependentMedDRA: COVID-19 — Feeling: Good · Headache, Fatigue or tiredness, DiarrheaFree text: Positive for Covid as reported earlierMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: SARS-CoV-2 test positive — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Positive covid test 11/6/21MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — day 7, dose 1, dependentMedDRA: SARS-CoV-2 test positive — Feeling: GoodFree text: Positive covid test on 11/6MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
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2021-11-25
Survey response — day 21, dose 1, dependentMedDRA: Arthralgia — Feeling: GoodFree text: Achey kneeMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Dose 2 — Pfizer-BioNTech
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-03
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2021-12-11
Survey response — day 14, dose 2, dependentMedDRA: Diarrhoea, Headache, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend schoolFree text: 102 fever, diarrhea, vomiting, headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
- 2021-12-24
- 2021-12-31
- 2022-01-09
- 2022-02-27
- 2022-05-27
- 2022-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-04 | Pfizer-BioNTech | No |
| 2 | 2021-11-26 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Fever & vomiting occurred 27 hours after vaccine. There may be another virus going around our family though.
Systemic reaction (other): Tested positive for Covid 1.5 days after vaccine. Symptoms began 20 hours after vaccine.
Systemic reaction (other): Positive for Covid as reported earlier
Systemic reaction (other): Positive covid test 11/6/21
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Positive covid test on 11/6
Release 10 — day 21, dose 1, dependent
Symptoms: Achey knee
Release 10 — day 14, dose 2, dependent
Symptoms: 102 fever, diarrhea, vomiting, headache
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 | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release