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7VH-19531-25911

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
212 / MD
Registered
2021-12-02
Relationship
Child or adolescent in my care
Guardian
YK8-13067-29570
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-02
    Registered in v-safe
  3. 2021-12-02
    Dose 2 — Pfizer-BioNTech
  4. 2021-12-02
    Health check-in — day 0, dose 2, dependent
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-12-06
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Leg aching
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-08
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Faeces discoloured, Faeces soft — Feeling: Good · Site: Pain
    Free text: Greenish yellow soft stool
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Fair · Site: Pain · Nausea, Diarrhea
    Adult check-in
  10. 2021-12-16
    Survey response — day 14, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Running nose
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-25
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2021-12-30
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-01-06
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-01-14
    Survey response — day 42, dose 2, dependent
    MedDRA: Abdominal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Runny nose, congestion, some tummy aches
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-03-03
    Survey response — 3 months, dose 2, dependent
    MedDRA: Abdominal pain upper, Dermatitis allergic, Urticaria — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Moderately severe allergic reaction to cedar dust (hives all over body where there was none before. Also frequent stomach aches.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-03
    Report sent to call center — 3 months, dose 2, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2022-03-04
  18. 2022-06-02
    Survey response — 6 months, dose 2, dependent
    MedDRA: Malaise — 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 visit
    Free text: Covid symptoms
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-06-02
    Report sent to call center — 6 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-06-03
  21. 2022-06-03
  22. 2022-12-03
    Survey response — 12 months, dose 2, dependent
    MedDRA: Ear infection, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Repeat double ear infections, sinus infections
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-12-03
    Report sent to call center — 12 months, dose 2, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2022-12-05
  25. 2022-12-05
  26. 2022-12-05

Vaccinations

DoseDateManufacturerCo-administered
12021-11-11Pfizer-BioNTech No
22021-12-02Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-03 Unsuccessful
2022-06-02 Unsuccessful
2022-12-03 Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-06

Systemic reaction (other): Leg aching

2021-12-08

Systemic reaction (other): Greenish yellow soft stool

Release 10 — day 14, dose 2, dependent

2021-12-16

Symptoms: Running nose

Release 10 — day 42, dose 2, dependent

2022-01-14

Symptoms: Runny nose, congestion, some tummy aches

Release 11 — 3 months, dose 2, dependent

2022-03-03

Symptoms: Moderately severe allergic reaction to cedar dust (hives all over body where there was none before. Also frequent stomach aches.

Release 11 — 6 months, dose 2, dependent

2022-06-02

Symptoms: Covid symptoms

Release 12 — 12 months, dose 2, dependent

2022-12-03

Symptoms: Repeat double ear infections, sinus infections

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain · · ✓
SDAbdominal pain upper · · ✓
SDDermatitis allergic · · ✓
SDEar infection · · ✓
SDMalaise · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSinusitis · · ✓
SDUrticaria · · ✓
SROFaeces discoloured · · ✓
SROFaeces soft · · ✓
SROPain in extremity · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release