835-70907-69296
1 vaccination
1 coded response
9 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 381 / TN
- Registered
- 2021-10-17
- Relationship
- Child or adolescent in my care
- Guardian
- Q9V-29507-42181
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-16
Dose 1 — Pfizer-BioNTech
-
2021-10-17
Registered in v-safe
-
2021-10-17
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: FeverMedDRA releases: 2024-11 · check-in free text available
- 2021-10-23
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-29
- 2022-01-15
- 2022-04-18
- 2022-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-16 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Fever
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 | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release