66C-30950-34164
3 vaccinations
1 coded response
19 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 917 / CA
- Registered
- 2021-08-18
- Relationship
- Child or adolescent in my care
- Guardian
- ZSD-31515-08505
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-16
Dose 1 — Pfizer-BioNTech
-
2021-08-18
Registered in v-safe
-
2021-08-18
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Vascular pain — Feeling: GoodFree text: Pain on veins located on armsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-19
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-30
- 2021-09-06
-
2021-09-08
Dose 2 — Pfizer-BioNTech
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-22
- 2021-09-29
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-12-08
- 2022-03-09
-
2022-03-16
Dose 3 — Pfizer-BioNTech
- 2022-09-14
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-16 | Pfizer-BioNTech | No |
| 2 | 2021-09-08 | Pfizer-BioNTech | No |
| 3 | 2022-03-16 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Pain on veins located on arms
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 |
|---|---|---|---|---|
| SRO | Vascular pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release