5HM-10710-66544
3 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 629 / IL
- Registered
- 2021-06-12
- Relationship
- Child or adolescent in my care
- Guardian
- 4R9-22426-35927
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-11
Dose 1 — Pfizer-BioNTech
-
2021-06-12
Registered in v-safe
-
2021-06-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
-
2021-06-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-06-15
- 2021-06-16
- 2021-06-18
-
2021-07-09
Dose 2 — Pfizer-BioNTech
- 2021-07-16
- 2021-07-23
- 2021-07-30
- 2021-08-06
- 2021-08-17
- 2021-08-20
- 2021-10-10
- 2022-01-07
-
2022-01-11
Dose 3 — Pfizer-BioNTech
-
2022-01-15
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-16
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: coughingMedDRA releases: 2024-11 · check-in free text available
-
2022-01-17
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Survey response — day 7, dose 3, dependentMedDRA: Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: severe congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Survey response — day 14, dose 3, dependentMedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: fatigue, congestion, cough,etcMedDRA releases: 2024-11 · check-in free text available
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-11 | Pfizer-BioNTech | |
| 2 | 2021-07-09 | Pfizer-BioNTech | No |
| 3 | 2022-01-11 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Congestion
Systemic reaction (other): coughing
Systemic reaction (other): Congestion
Release 10 — day 7, dose 3, dependent
Systemic reaction (other): severe congestion
Release 11 — day 14, dose 3, dependent
Symptoms: fatigue, congestion, cough,etc
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 | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release