6LP-19566-97314
3 vaccinations
6 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 085 / NJ
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- LUD-67816-27878
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-08-23
Dose 1 — Pfizer-BioNTech
-
2021-11-11
Registered in v-safe
-
2021-11-11
Dose 2 — Pfizer-BioNTech
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
-
2021-11-17
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Disturbance in attention, Fatigue, Mental impairment — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Her fatigue has made it difficult to concentrate or think clearly at school for several daysMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-12
- 2022-05-14
-
2022-09-16
Dose 3 — Pfizer-BioNTech
- 2022-09-19
-
2022-09-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2022-09-30
Survey response — day 14, dose 3, dependentMedDRA: Myalgia, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, runny nose, sneezing, some muscle achesMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Report sent to call center — day 14, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-03
- 2022-10-07
-
2022-10-14
Survey response — day 28, dose 3, dependentMedDRA: Gastrointestinal viral infection, Pharyngitis streptococcal — Feeling: Good · Be unable to work or attend schoolFree text: Diagnosed with strep throat 1.5 weeks ago. GI bug this past Tuesday x1-2 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — day 35, dose 3, dependentMedDRA: Gastrointestinal viral infection, Pharyngitis streptococcal — Feeling: Good · Be unable to work or attend schoolFree text: Strep throat 2 weeks ago and GI virus last weekMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
-
2022-12-16
Survey response — 3 months, dose 3, dependentMedDRA: Cough, Headache, Influenza virus test negative, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend schoolFree text: Extreme sinus congestion, post nasal drip, severe coughing fits, headaches and running nose. She tested negative on rapid Covid, flu and strepMedDRA releases: 2024-11 · check-in free text available
-
2023-03-19
Survey response — 6 months, dose 3, dependentMedDRA: Cough, Discomfort, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Sinus congestion, Sneezing — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-23 | Pfizer-BioNTech | No |
| 2 | 2021-11-11 | Pfizer-BioNTech | No |
| 3 | 2022-09-16 | 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): Her fatigue has made it difficult to concentrate or think clearly at school for several days
Release 12 — day 14, dose 3, dependent
Symptoms: Sore throat, runny nose, sneezing, some muscle aches
Release 12 — day 28, dose 3, dependent
Symptoms: Diagnosed with strep throat 1.5 weeks ago. GI bug this past Tuesday x1-2 days
Release 12 — day 35, dose 3, dependent
Symptoms: Strep throat 2 weeks ago and GI virus last week
Release 12 — 3 months, dose 3, dependent
Symptoms: Extreme sinus congestion, post nasal drip, severe coughing fits, headaches and running nose. She tested negative on rapid Covid, flu and strep
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 | Cough | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Mental impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release