6LD-19595-43625
4 vaccinations
2 coded responses
21 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 105 / NY
- Registered
- 2022-01-21
- Relationship
- Child or adolescent in my care
- Guardian
- 423-21791-90631
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-20
Dose 1 — Pfizer-BioNTech
-
2021-06-10
Dose 2 — Pfizer-BioNTech
-
2022-01-21
Registered in v-safe
-
2022-01-21
Dose 3 — Pfizer-BioNTech
- 2022-01-21
-
2022-01-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-01-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Swelling · NoneAdult check-in
- 2022-01-24
- 2022-01-25
- 2022-01-26
- 2022-01-28
- 2022-02-05
- 2022-02-11
- 2022-02-18
- 2022-02-25
- 2022-03-08
- 2022-04-22
- 2022-07-22
-
2022-11-10
Dose 4 — Pfizer-BioNTech
- 2022-11-27
- 2022-12-01
-
2022-12-09
Survey response — day 28, dose 4, dependentMedDRA: Ear pain — Feeling: FairFree text: Ear acheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Survey response — day 35, dose 4, dependentMedDRA: Ear infection — Feeling: Poor · Be unable to work or attend schoolFree text: Massive ear infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
- 2023-02-09
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-20 | Pfizer-BioNTech | No |
| 2 | 2021-06-10 | Pfizer-BioNTech | No |
| 3 | 2022-01-21 | Pfizer-BioNTech | No |
| 4 | 2022-11-10 | Pfizer-BioNTech | No |
Free text
Release 12 — day 28, dose 4, dependent
Symptoms: Ear ache
Release 12 — day 35, dose 4, dependent
Symptoms: Massive ear infection
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 | Ear infection | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release