5A6-10218-81975

2 vaccinations 1 coded response 4 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 12-15
ZIP prefix: 376 / TN
Registered: 2021-10-06

Relationship: Child or adolescent in my care
Guardian: VX9-29882-58713
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-03
Dose 1 — Pfizer-BioNTech
2021-08-24
Dose 2 — Pfizer-BioNTech
2021-10-06
Registered in v-safe
2021-10-06
Health check-in — 42 day, dose 2, dependent
Feeling: Good

Adult check-in
2021-11-25
Health check-in — 3 month, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-22
Health check-in — 6 month, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-24
Survey response — 12 month, dose 2, dependent
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-03	Pfizer-BioNTech	No
2	2021-08-24	Pfizer-BioNTech	No

Free text

Release 12

Symptoms: New diagnosis of COVID19 on 8/23/22

Free-text releases are not linked to a specific 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	COVID-19	·	·	✓

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