5PD-25761-26176
4 vaccinations
9 coded responses
44 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 063 / CT
- Registered
- 2021-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 5DW-20758-94729
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-06-28
Dose 1 — Pfizer-BioNTech
-
2021-06-29
Registered in v-safe
-
2021-06-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · NoneAdult check-in
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-03
- 2021-07-04
- 2021-07-05
- 2021-07-12
-
2021-07-19
Dose 2 — Pfizer-BioNTech
- 2021-07-19
-
2021-07-20
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Asthenia — Feeling: Fair · Site: Pain, Swelling · Fever · HeadacheFree text: WeaknessMedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-07-22
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-07-23
- 2021-07-24
- 2021-07-25
- 2021-07-27
- 2021-08-02
- 2021-08-09
- 2021-08-16
- 2021-08-25
- 2021-08-30
- 2021-10-20
- 2022-01-17
-
2022-02-11
Dose 3 — Pfizer-BioNTech
-
2022-02-12
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
-
2022-02-13
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Axillary pain — Feeling: GoodFree text: Pain in the underarm of the arm the shot was givenMedDRA releases: 2024-11 · check-in free text available
-
2022-02-14
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Axillary pain — Feeling: GoodFree text: Pain in the underarm that the shot was givenMedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-02-17
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-02-18
Survey response — day 7, dose 3, dependentMedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: Sore throat, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-25
Survey response — day 14, dose 3, dependentMedDRA: Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: GoodFree text: Sore throat, sneezing, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Survey response — day 21, dose 3, dependentMedDRA: Amenorrhoea, Cough, Respiratory tract congestion — Feeling: FairFree text: Has missed her period. Still has coughing and congestion.MedDRA releases: 2024-11 · check-in free text available
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2022-03-11
Survey response — day 28, dose 3, dependentMedDRA: Menstruation irregular — Feeling: GoodFree text: Still has not gotten her periodMedDRA releases: 2024-11 · check-in free text available
- 2022-03-18
- 2022-03-27
- 2022-05-15
- 2022-08-12
-
2022-10-08
Dose 4 — Pfizer-BioNTech
-
2022-10-14
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-10-18
- 2022-10-22
- 2022-10-29
- 2022-11-07
- 2022-11-12
- 2022-11-19
- 2023-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-28 | Pfizer-BioNTech | No |
| 2 | 2021-07-19 | Pfizer-BioNTech | No |
| 3 | 2022-02-11 | Pfizer-BioNTech | No |
| 4 | 2022-10-08 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Weakness
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Pain in the underarm of the arm the shot was given
Systemic reaction (other): Pain in the underarm that the shot was given
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 11 — day 7, dose 3, dependent
Systemic reaction (other): Sore throat, congestion
Release 11 — day 14, dose 3, dependent
Symptoms: Sore throat, sneezing, congestion
Release 11 — day 21, dose 3, dependent
Symptoms: Has missed her period. Still has coughing and congestion.
Release 11 — day 28, dose 3, dependent
Symptoms: Still has not gotten her period
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 | Amenorrhoea | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release