5RW-29764-52693
3 vaccinations
2 coded responses
15 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 752 / TX
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 27M-24350-03160
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-12-20
Dose 1 — Pfizer-BioNTech
-
2022-01-10
Dose 2 — Pfizer-BioNTech
-
2022-06-22
Registered in v-safe
- 2022-07-11
-
2022-07-22
Dose 3 — Moderna
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
-
2022-08-26
Survey response — day 35, dose 3, dependentMedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-09-02
- 2022-10-23
-
2023-01-20
Survey response — 6 months, dose 3, dependentMedDRA: COVID-19, Gastrointestinal viral infection, General physical health deterioration, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-20 | Pfizer-BioNTech | No |
| 2 | 2022-01-10 | Pfizer-BioNTech | No |
| 3 | 2022-07-22 | Moderna | No |
Free text
Release 12 — day 35, dose 3, dependent
Symptoms: Covid
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 | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | General physical health deterioration | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release