85H-30504-65962
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 545 / WI
- Registered
- 2021-08-10
- Relationship
- Child or adolescent in my care
- Guardian
- ZHA-12933-01887
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-06
Dose 1 — Pfizer-BioNTech
-
2021-08-10
Registered in v-safe
-
2021-08-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-08-11
- 2021-08-12
- 2021-08-13
- 2021-08-20
-
2021-08-27
Dose 2 — Pfizer-BioNTech
-
2021-08-27
Survey response — day 0, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Site: PainFree text: DizzinessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do their normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-29
- 2021-08-30
-
2021-08-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-09-01
- 2021-09-02
- 2021-09-03
- 2021-09-10
- 2021-09-17
-
2021-09-24
Survey response — day 28, dose 2, dependentMedDRA: Cough, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a fever, sore throat, stuffy nose and cough.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-10
- 2021-11-26
- 2022-02-25
- 2022-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-06 | Pfizer-BioNTech | No |
| 2 | 2021-08-27 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 2, dependent
Systemic reaction (other): Dizziness
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Dizziness
Release 9 — day 28, dose 2, dependent
Symptoms: Had a fever, sore throat, stuffy nose and cough.
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 | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release