463-31700-65515
4 vaccinations
7 coded responses
53 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 907 / CA
- Registered
- 2021-07-26
- Relationship
- Child or adolescent in my care
- Guardian
- ZG4-63964-07473
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-26
Registered in v-safe
-
2021-07-26
Dose 1 — Pfizer-BioNTech
-
2021-07-26
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-07-27
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-07-28
- 2021-07-29
-
2021-07-30
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Abdominal pain upper — Feeling: Good · HeadacheFree text: Stomach AchMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-31
- 2021-08-01
- 2021-08-02
- 2021-08-09
-
2021-08-20
Dose 2 — Pfizer-BioNTech
- 2021-08-20
-
2021-08-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Headache, Abdominal pain · Be unable to do their normal daily activitiesAdult check-in
-
2021-08-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Swollen armpitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oedema peripheral — Feeling: GoodFree text: Swollen armpitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oedema peripheral — Feeling: GoodFree text: Swollen armpitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oedema peripheral — Feeling: GoodFree text: Swollen armpitMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-26
- 2021-08-27
- 2021-09-03
- 2021-09-10
- 2021-09-17
- 2021-09-24
- 2021-10-01
- 2021-11-19
- 2022-02-18
-
2022-02-21
Dose 3 — Pfizer-BioNTech
-
2022-02-21
Health check-in — day 0, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-02-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-02-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-02-24
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Swollen arm pit on vaccination side.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-25
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: Swollen armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-02-26
- 2022-02-27
- 2022-02-28
- 2022-03-07
- 2022-03-14
- 2022-03-21
- 2022-03-28
- 2022-04-04
- 2022-05-23
- 2022-08-22
-
2022-11-11
Dose 4 — Pfizer-BioNTech
- 2022-11-11
-
2022-11-12
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
- 2022-11-13
- 2022-11-14
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-04
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2023-02-10
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-26 | Pfizer-BioNTech | No |
| 2 | 2021-08-20 | Pfizer-BioNTech | No |
| 3 | 2022-02-21 | Pfizer-BioNTech | No |
| 4 | 2022-11-11 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Stomach Ach
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Swollen armpit
Systemic reaction (other): Swollen armpit
Systemic reaction (other): Swollen armpit
Systemic reaction (other): Swollen armpit
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Swollen arm pit on vaccination side.
Systemic reaction (other): Swollen armpit
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 |
|---|---|---|---|---|
| SRO | Abdominal pain upper | ✓ | · | ✓ |
| SRO | Oedema peripheral | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release