4ZX-26411-07533
4 vaccinations
3 coded responses
35 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 945 / CA
- Registered
- 2021-11-22
- Relationship
- Child or adolescent in my care
- Guardian
- 9UF-15811-34111
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-22
Registered in v-safe
-
2021-11-22
Dose 1 — Pfizer-BioNTech
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-12-08
-
2021-12-13
Dose 2 — Pfizer-BioNTech
- 2021-12-13
-
2021-12-14
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-15
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-17
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-12-18
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-12-19
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-11
-
2022-01-17
Survey response — day 35, dose 2, dependentMedDRA: Body temperature increased, Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: GoodFree text: Elevated temperature. She was exposed to COVID at school but so far negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
- 2022-03-14
-
2022-06-15
Survey response — 6 months, dose 2, dependentMedDRA: Hair growth abnormal — Feeling: GoodFree text: She started growing armpit and pubic hair. We had her tested and it's not her hormones, which appear normal. This began a couple months ago.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-23
Dose 3 — Pfizer-BioNTech
- 2022-06-23
-
2022-06-25
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-06-26
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-06-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-07-02
- 2022-07-08
-
2022-07-30
Survey response — day 35, dose 3, dependentMedDRA: Exposure to SARS-CoV-2, Feeling abnormal, Glassy eyes, Oropharyngeal pain, SARS-CoV-2 test negative, Viral infection, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: She caught a virus that tested negative for COVID, but another family member caught COVID. She felt overall terrible, vomited once, had glassy eyes, and a sore throat. It lasted for a few days.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
Report sent to call center — day 35, dose 3, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-06
-
2022-12-16
Dose 4 — Moderna
-
2022-12-17
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-18
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-20
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-12-23
Health check-in — day 7, dose 4, dependentFeeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2023-01-15
- 2023-01-20
- 2023-01-27
- 2023-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-22 | Pfizer-BioNTech | No |
| 2 | 2021-12-13 | Pfizer-BioNTech | No |
| 3 | 2022-06-23 | Pfizer-BioNTech | No |
| 4 | 2022-12-16 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 35, dose 2, dependent
Symptoms: Elevated temperature. She was exposed to COVID at school but so far negative.
Release 12 — 6 months, dose 2, dependent
Symptoms: She started growing armpit and pubic hair. We had her tested and it's not her hormones, which appear normal. This began a couple months ago.
Release 12 — day 35, dose 3, dependent
Symptoms: She caught a virus that tested negative for COVID, but another family member caught COVID. She felt overall terrible, vomited once, had glassy eyes, and a sore throat. It lasted for a few days.
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 | Body temperature increased | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Glassy eyes | · | · | ✓ |
| SD | Hair growth abnormal | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release