39C-13480-04607
3 vaccinations
12 coded responses
32 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 973 / OR
- Registered
- 2021-11-18
- Relationship
- Child or adolescent in my care
- Guardian
- 8P9-14583-75521
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-18
Registered in v-safe
-
2021-11-18
Dose 1 — Pfizer-BioNTech
- 2021-11-18
-
2021-11-19
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-20
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · ChillsAdult check-in
- 2021-11-22
-
2021-11-23
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Sneezing — Feeling: GoodFree text: Coughing and sneezing/possible new viral symptoms not vaccine relatedMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Fatigue — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Tiredness may be due to new viral symptoms not vaccine relatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-02
-
2021-12-09
Dose 2 — Pfizer-BioNTech
-
2021-12-09
Health check-in — day 0, dose 2, dependentFeeling: Fair · Site: Pain, Redness · None · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-12
- 2021-12-13
- 2021-12-15
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2021-12-18
Survey response — day 7, dose 2, dependentMedDRA: Cough, Nasal congestion, Nasopharyngitis, Viral infection — Feeling: GoodFree text: Cold or viral symptoms (stuffy nose and coughing)MedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Survey response — day 14, dose 2, dependentMedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold/viral symptoms (sore throat, runny nose, nasal and chest congestion, tiredness)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-01-06
- 2022-01-13
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2022-01-20
Survey response — day 42, dose 2, dependentMedDRA: Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, cough, fatigue took at home antigen Covid test and was positive 01/18/22MedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Survey response — 3 months, dose 2, dependentMedDRA: Malaise, Viral infection — Feeling: Good · Be unable to work or attend schoolFree text: Sick a few times with viral symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Dose 3 — Pfizer-BioNTech
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2022-05-25
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough — Feeling: Good · Be unable to work or attend schoolFree text: coughMedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: Coughing, stuffy nose, and sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-05-28
- 2022-05-29
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2022-06-05
Survey response — day 14, dose 3, dependentMedDRA: Cough, Diarrhoea, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, runny nose, diarrheaMedDRA releases: 2024-11 · check-in free text available
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2022-06-13
Survey response — day 21, dose 3, dependentMedDRA: Cough, Diarrhoea, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Diarrhea, cough, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
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2022-06-27
Survey response — day 35, dose 3, dependentMedDRA: Viral infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Common viral infection symptoms that seem to be resolving.MedDRA releases: 2024-11 · check-in free text available
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2022-07-04
Survey response — day 42, dose 3, dependentMedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Possible viral or post viral symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-07-04
Report sent to call center — day 42, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-05
- 2022-08-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-18 | Pfizer-BioNTech | No |
| 2 | 2021-12-09 | Pfizer-BioNTech | No |
| 3 | 2022-05-22 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Coughing and sneezing/possible new viral symptoms not vaccine related
Systemic reaction (other): Tiredness may be due to new viral symptoms not vaccine related
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Cold or viral symptoms (stuffy nose and coughing)
Release 10 — day 14, dose 2, dependent
Symptoms: Cold/viral symptoms (sore throat, runny nose, nasal and chest congestion, tiredness)
Release 10 — day 42, dose 2, dependent
Symptoms: Fever, cough, fatigue took at home antigen Covid test and was positive 01/18/22
Release 11 — 3 months, dose 2, dependent
Symptoms: Sick a few times with viral symptoms
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): cough
Systemic reaction (other): Coughing, stuffy nose, and sore throat
Release 11 — day 14, dose 3, dependent
Symptoms: Cough, runny nose, diarrhea
Release 12 — day 21, dose 3, dependent
Symptoms: Diarrhea, cough, runny nose
Release 12 — day 35, dose 3, dependent
Symptoms: Common viral infection symptoms that seem to be resolving.
Release 12 — day 42, dose 3, dependent
Symptoms: Possible viral or post viral symptoms
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release