5ZT-81204-72079
4 vaccinations
7 coded responses
42 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 030 / NH
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- DFY-21337-19805
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-07
Dose 1 — Pfizer-BioNTech
-
2021-11-09
Registered in v-safe
-
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-21
- 2021-11-28
-
2021-11-29
Dose 2 — Pfizer-BioNTech
-
2021-12-05
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Abdominal pain upper, Body temperature increased, Dizziness, Oropharyngeal pain — Feeling: Good · Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: From Nov 30-dec 3, Lucy had a fever offer 100 degrees, dizziness, stomach ache and sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-28
- 2022-01-05
- 2022-01-10
- 2022-02-28
-
2022-05-20
Dose 3 — Pfizer-BioNTech
-
2022-05-21
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Decreased appetite, Dizziness, Nausea — Feeling: Poor · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: So dizzy and nauseated she couldn't eat most of the dayMedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · NoneAdult check-in
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
-
2022-06-05
Survey response — day 14, dose 3, dependentMedDRA: Diarrhoea, Food poisoning, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Yesterday (b)(6) seemed to have good poisoning. Very bad vomiting and diarrhea for admit 12 hoursMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-17
-
2022-06-24
Survey response — day 35, dose 3, dependentMedDRA: Lacrimation increased, Nasal congestion, Nasopharyngitis, Pyrexia, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lucy has some kind of cold (so does her older sibling and do do I, her mother). Fever of 100.5 yesterday, runny/stuffy nose, scratchy throat and runny eyesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
-
2022-08-19
Survey response — 3 months, dose 3, dependentMedDRA: Ear infection, Office visit, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection and allergies causing multiple Dr visitsMedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Report sent to call center — 3 months, dose 3, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-22
- 2022-11-18
-
2022-12-23
Dose 4 — Pfizer-BioNTech
-
2022-12-24
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tiredness, NauseaFree text: Very hot and said when she stood up she felt heavy. After Tylenol she was fineAdult check-in · check-in free text available
-
2022-12-25
Health check-in — days 1–6 daily, dose 4, dependentFeeling: FairFree text: Runny nose and watery eyes today... We think she's gotten a cold now, but haven't done a Covid home test yetAdult check-in · check-in free text available
-
2022-12-26
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Lacrimation increased, Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Stuffy, runny nose and watery eyesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-27
- 2022-12-29
- 2022-12-30
- 2023-01-06
- 2023-01-13
- 2023-01-20
- 2023-01-27
- 2023-02-03
-
2023-03-24
Survey response — 3 months, dose 4, dependentMedDRA: Influenza — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-07 | Pfizer-BioNTech | No |
| 2 | 2021-11-29 | Pfizer-BioNTech | No |
| 3 | 2022-05-20 | Pfizer-BioNTech | No |
| 4 | 2022-12-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): From Nov 30-dec 3, Lucy had a fever offer 100 degrees, dizziness, stomach ache and sore throat
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): So dizzy and nauseated she couldn't eat most of the day
Release 11 — day 14, dose 3, dependent
Symptoms: Yesterday (b)(6) seemed to have good poisoning. Very bad vomiting and diarrhea for admit 12 hours
redacted (b)(6)
Release 12 — day 35, dose 3, dependent
Symptoms: Lucy has some kind of cold (so does her older sibling and do do I, her mother). Fever of 100.5 yesterday, runny/stuffy nose, scratchy throat and runny eyes
Release 12 — 3 months, dose 3, dependent
Symptoms: Ear infection and allergies causing multiple Dr visits
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Very hot and said when she stood up she felt heavy. After Tylenol she was fine
Systemic reaction (other): Runny nose and watery eyes today... We think she's gotten a cold now, but haven't done a Covid home test yet
Systemic reaction (other): Stuffy, runny nose and watery eyes
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 | Diarrhoea | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release