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4Z7-21971-02367

3 vaccinations 1 coded response 12 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
081 / NJ
Registered
2022-06-22
Relationship
Child or adolescent in my care
Guardian
XN8-29835-60646
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-02
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-22
    Registered in v-safe
  4. 2022-08-19
    Dose 3 — Pfizer-BioNTech
  5. 2022-08-20
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Sleepiness
    Free text: Felt cold
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-08-21
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-08-22
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-08-25
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-08-26
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-09-02
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-09-09
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-09-16
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-09-25
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-09-30
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-11-18
    Health check-in — 3 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-02-17
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-11Pfizer-BioNTech No
22021-12-02Pfizer-BioNTech No
32022-08-19Pfizer-BioNTech No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 3, under 3

2022-08-20

Systemic reaction (other): Felt cold

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

FieldPreferred term2021-092023-042024-11
SROFeeling cold · · ✓

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

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