55G-24882-01743
5 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 190 / PA
- Registered
- 2022-04-26
- Relationship
- Child or adolescent in my care
- Guardian
- ZXV-52062-38425
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-13
Dose 1 — Pfizer-BioNTech
-
2021-06-05
Dose 2 — Pfizer-BioNTech
-
2022-01-12
Dose 3 — Pfizer-BioNTech
-
2022-04-26
Registered in v-safe
-
2022-06-21
Dose 4 — Pfizer-BioNTech
-
2022-06-23
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
-
2022-06-24
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
-
2022-08-02
Survey response — day 42, dose 4, dependentMedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Seasonal allergies are the EVER.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-20
-
2022-11-04
Dose 5 — Pfizer-BioNTech
-
2022-11-05
Health check-in — days 1–6 daily, dose 5, dependentFeeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-06
Health check-in — days 1–6 daily, dose 5, dependentFeeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-11-07
- 2022-11-08
-
2022-11-09
Survey response — days 1–6 daily, dose 5, dependentMedDRA: Dizziness, Emergency care, Vaginal haemorrhage — Feeling: Poor · Headache · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe vaginal bleeding; dizziness. Currently in EDMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Report sent to call center — days 1–6 daily, dose 5, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-11-10
- 2022-11-10
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Pfizer-BioNTech | No |
| 2 | 2021-06-05 | Pfizer-BioNTech | No |
| 3 | 2022-01-12 | Pfizer-BioNTech | No |
| 4 | 2022-06-21 | Pfizer-BioNTech | No |
| 5 | 2022-11-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Dizzy
Release 12 — day 42, dose 4, dependent
Symptoms: Seasonal allergies are the EVER.
Release 12 — days 1–6 daily, dose 5, dependent
Systemic reaction (other): Severe vaginal bleeding; dizziness. Currently in ED
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 | Pre-existing disease | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Vaginal haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release