3TS-26530-95015

2 vaccinations 1 coded response 2 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 12-15
ZIP prefix: 254 / WV
Registered: 2021-09-06

Relationship: Child or adolescent in my care
Guardian: 8GF-75341-31419
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-15
Dose 1 — Pfizer-BioNTech
2021-06-05
Dose 2 — Pfizer-BioNTech
2021-09-06
Registered in v-safe
2021-09-06
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-07
Survey response — 6 months, dose 2, dependent
MedDRA: Amenorrhoea — Feeling: Fair

Free text: No period for 4 months

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-15	Pfizer-BioNTech	No
2	2021-06-05	Pfizer-BioNTech	No

Free text

Release 10 — 6 months, dose 2, dependent

2021-12-07

Symptoms: No period for 4 months

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	Amenorrhoea	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release