4XS-21853-34428
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 598 / MT
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- 45X-84492-71470
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-06
Registered in v-safe
-
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, NauseaAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-11
-
2021-11-12
Health check-in — day 7, dose 1, dependentFeeling: Fair · Nausea, Abdominal pain · Be unable to work or attend schoolAdult check-in
-
2021-11-19
Survey response — day 14, dose 1, dependentMedDRA: Diarrhoea, Exposure to SARS-CoV-2, Headache, Nausea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: headache, nausea, diarrhea after being a close contact to household member with covid-19. PCR test 5 days after exposure was negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
-
2021-12-03
Dose 2 — Pfizer-BioNTech
- 2021-12-03
-
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-05
-
2021-12-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Nausea — Feeling: Good · NauseaFree text: nausea could be related to dietary intolerancesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
-
2022-01-14
Survey response — day 42, dose 2, dependentMedDRA: Cough, Diarrhoea, Headache, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: cough, diarrhea, headache - covid PCR test negative and symptoms improvingMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Survey response — 3 months, dose 2, dependentMedDRA: Exposure to SARS-CoV-2, Pyrexia, Respiratory symptom, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Upper respiratory symptoms and low grade fever consistent with covid19 (close contact of household members), but did not have high enough viral load to test positive for covid19 by either PCR or RAT.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: headache, nausea, diarrhea after being a close contact to household member with covid-19. PCR test 5 days after exposure was negative.
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): nausea could be related to dietary intolerances
Release 10 — day 42, dose 2, dependent
Symptoms: cough, diarrhea, headache - covid PCR test negative and symptoms improving
Release 11 — 3 months, dose 2, dependent
Symptoms: Upper respiratory symptoms and low grade fever consistent with covid19 (close contact of household members), but did not have high enough viral load to test positive for covid19 by either PCR or RAT.
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release