4N3-28371-18257
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 958 / CA
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- QCN-30821-93629
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Registered in v-safe
-
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, Abdominal painAdult check-in
-
2021-11-16
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Survey response — day 7, dose 1, dependentMedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Survey response — day 14, dose 1, dependentMedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose and sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
-
2021-12-02
Dose 2 — Pfizer-BioNTech
-
2021-12-02
Health check-in — day 0, dose 2, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-12-03
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Irritability — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: IrritableMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · HeadacheAdult check-in
-
2021-12-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Throat soreMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
-
2021-12-08
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Headache, Abdominal painAdult check-in
- 2021-12-09
- 2021-12-17
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
- 2022-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Sore throat
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Sore throat
Release 10 — day 14, dose 1, dependent
Symptoms: Runny nose and sore throat
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Irritable
Systemic reaction (other): Throat sore
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release