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5P9-29773-32949

3 vaccinations 7 coded responses 30 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
222 / VA
Registered
2021-11-06
Relationship
Child or adolescent in my care
Guardian
FHX-31219-62662
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-06
    Registered in v-safe
  3. 2021-11-06
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-12
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-19
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-11-26
    Dose 2 — Pfizer-BioNTech
  11. 2021-11-27
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen Lymph nodes / armpit
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches
    Free text: Loss of appetite, swollen lymph nodes (armpit)
    Adult check-in · check-in free text available
  13. 2021-11-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Swelling · None
    Adult check-in
  14. 2021-11-30
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, Itching · Headache
    Free text: Swollen Lymph Nodes (armpit)
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-06
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-10
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-12-19
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2021-12-24
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-07
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-02-25
  21. 2022-05-21
    Dose 3 — Pfizer-BioNTech
  22. 2022-05-21
    Health check-in — day 0, dose 3, dependent
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  23. 2022-05-22
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  24. 2022-05-23
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Anosmia, Lymphadenopathy, Taste disorder — Feeling: Fair · Fever · Chills, Headache · Be unable to do your normal daily activities
    Free text: Swollen lymph node near armpit, partial loss of smell and altered taste.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-05-25
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Hypogeusia, Hyposmia, Parosmia, Taste disorder — Feeling: Good
    Free text: Altered/diminished sense of taste and smell
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-05-26
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Lymphadenopathy, Taste disorder — Feeling: Good
    Free text: Slightly swollen lymph nodes (armpit) and slightly altered sense of taste
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-05-28
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  28. 2022-06-14
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-06-18
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  30. 2022-06-25
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  31. 2022-07-03
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  32. 2022-08-21
  33. 2022-11-26
    Survey response — 6 months, dose 3, dependent
    MedDRA: COVID-19, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: When (b)(6) had COVID she had a scratchy/sore throat and a low fever (100.4), followed by some congestion. She was very tired for about 5 days. She has since recovered.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2023-05-23
    Survey response — 12 months, dose 3, dependent
    MedDRA: Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-11-05Pfizer-BioNTech No
22021-11-26Pfizer-BioNTech No
32022-05-21Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-11-27

Systemic reaction (other): Swollen Lymph nodes / armpit

2021-11-30

Systemic reaction (other): Swollen Lymph Nodes (armpit)

Release 11 — days 1–6 daily, dose 3, dependent

2022-05-23

Systemic reaction (other): Swollen lymph node near armpit, partial loss of smell and altered taste.

2022-05-25

Systemic reaction (other): Altered/diminished sense of taste and smell

2022-05-26

Systemic reaction (other): Slightly swollen lymph nodes (armpit) and slightly altered sense of taste

Release 12 — days 1–6 daily, dose 2, dependent

2021-11-28

Systemic reaction (other): Loss of appetite, swollen lymph nodes (armpit)

Release 12 — 6 months, dose 3, dependent

2022-11-26

Symptoms: When (b)(6) had COVID she had a scratchy/sore throat and a low fever (100.4), followed by some congestion. She was very tired for about 5 days. She has since recovered.
redacted (b)(6)

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
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDThroat irritation · · ✓
SROAnosmia · · ✓
SROHypogeusia · · ✓
SROHyposmia · · ✓
SROLymphadenopathy · · ✓
SROParosmia · · ✓
SROTaste disorder · · ✓

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