3WE-27044-23362
3 vaccinations
2 coded responses
22 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 217 / MD
- Registered
- 2021-11-18
- Relationship
- Child or adolescent in my care
- Guardian
- ZM9-77463-23800
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-18
Registered in v-safe
- 2021-11-18
-
2021-11-25
Survey response — day 14, dose 1, dependentMedDRA: Abdominal pain, Fatigue, Headache — Feeling: GoodFree text: Headache, fatigue, and tummy ache. Mostly resolved on their own.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Dose 2 — Pfizer-BioNTech
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
-
2022-07-03
Dose 3 — Pfizer-BioNTech
-
2022-07-04
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-07-05
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-07-06
- 2022-07-07
- 2022-07-09
- 2022-07-10
- 2022-07-17
- 2022-07-26
- 2022-07-31
- 2022-08-07
- 2022-08-14
- 2022-10-03
-
2023-01-01
Survey response — 6 months, dose 3, dependentMedDRA: Cough, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
| 3 | 2022-07-03 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Headache, fatigue, and tummy ache. Mostly resolved on their own.
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 | Abdominal pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release