3Q5-20261-04161
4 vaccinations
4 coded responses
45 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 980 / WA
- Registered
- 2021-11-02
- Relationship
- Child or adolescent in my care
- Guardian
- 3SN-11579-50452
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-02
Registered in v-safe
-
2021-11-14
Dose 1 — Pfizer-BioNTech
- 2021-11-14
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-22
-
2021-11-28
Survey response — day 14, dose 1, dependentMedDRA: Nasal congestion, Nasopharyngitis, Pre-existing disease, Productive cough, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: FairFree text: Runny/stuffy nose, congestion, productive cough. Got a COVID test and it was negative. This is just a mild cold or allergies.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Dose 2 — Pfizer-BioNTech
- 2021-12-05
-
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-11
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-03-06
-
2022-06-05
Survey response — 6 months, dose 2, dependentMedDRA: Loss of personal independence in daily activities, Nasal congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: Stuffy nose. Thought it was allergies but did a COVID test and it was positive. While the symptoms were mild, she stayed home from school to avoid spread.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-09
Dose 3 — Pfizer-BioNTech
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-08-20
-
2022-10-08
Survey response — 3 months, dose 3, dependentMedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Minor cold. Confirmed not to be COVID. Kept home out of precaution.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Dose 4 — Pfizer-BioNTech
- 2022-11-08
- 2022-11-09
-
2022-11-12
Health check-in — day 7, dose 4, dependentFeeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-19
Survey response — day 14, dose 4, dependentMedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: She had a bad cold that lasted about 10 days. 2 COVID tests came back negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-28
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2023-02-04
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
| 3 | 2022-07-09 | Pfizer-BioNTech | No |
| 4 | 2022-11-05 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Runny/stuffy nose, congestion, productive cough. Got a COVID test and it was negative. This is just a mild cold or allergies.
Release 11 — 6 months, dose 2, dependent
Symptoms: Stuffy nose. Thought it was allergies but did a COVID test and it was positive. While the symptoms were mild, she stayed home from school to avoid spread.
Release 12 — 3 months, dose 3, dependent
Symptoms: Minor cold. Confirmed not to be COVID. Kept home out of precaution.
Release 12 — day 14, dose 4, dependent
Symptoms: She had a bad cold that lasted about 10 days. 2 COVID tests came back negative.
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 | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release