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8A8-26152-67675

4 vaccinations 5 coded responses 40 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
017 / MA
Registered
2021-12-13
Relationship
Child or adolescent in my care
Guardian
3KG-20495-45344
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-11
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-13
    Registered in v-safe
  4. 2021-12-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-12-15
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-16
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-12-17
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-18
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-25
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2022-01-01
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-08
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-01-15
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-01-22
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-03-12
  16. 2022-06-01
    Dose 3 — Pfizer-BioNTech
  17. 2022-06-02
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness
    Free text: Very sore in the armpit
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-06-03
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Sore in armpit
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-06-04
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2022-06-05
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2022-06-06
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  22. 2022-06-07
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  23. 2022-06-08
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  24. 2022-06-15
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  25. 2022-06-22
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  26. 2022-06-29
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  27. 2022-07-06
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  28. 2022-07-13
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-08-31
  30. 2022-11-04
    Dose 4 — Moderna
  31. 2022-11-04
    Health check-in — day 0, dose 4, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2022-11-05
    Survey response — days 1–6 daily, dose 4, dependent
    MedDRA: Crying, Depressed mood, Irritability — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sad, irritable, weepy
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-11-06
    Survey response — days 1–6 daily, dose 4, dependent
    MedDRA: Axillary pain, Decreased appetite — Feeling: Good · Site: Pain, Redness
    Free text: Today, and I forgot to say yesterday, that her armpit hurt. And she had loss of appetite yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-11-07
    Survey response — days 1–6 daily, dose 4, dependent
    MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness
    Free text: Armpit pain
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-11-08
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  36. 2022-11-09
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  37. 2022-11-10
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  38. 2022-11-11
    Health check-in — day 7, dose 4, dependent
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  39. 2022-11-18
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  40. 2022-11-25
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  41. 2022-12-02
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  42. 2022-12-09
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  43. 2022-12-16
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  44. 2023-02-03
  45. 2023-05-05

Vaccinations

DoseDateManufacturerCo-administered
12021-11-20Pfizer-BioNTech No
22021-12-11Pfizer-BioNTech No
32022-06-01Pfizer-BioNTech No
42022-11-04Moderna No

Free text

Release 11 — days 1–6 daily, dose 3, dependent

2022-06-02

Systemic reaction (other): Very sore in the armpit

2022-06-03

Systemic reaction (other): Sore in armpit

Release 12 — days 1–6 daily, dose 4, dependent

2022-11-05

Systemic reaction (other): Sad, irritable, weepy

2022-11-06

Systemic reaction (other): Today, and I forgot to say yesterday, that her armpit hurt. And she had loss of appetite yesterday.

2022-11-07

Systemic reaction (other): Armpit pain

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
SROAxillary pain · · ✓
SROCrying · · ✓
SRODecreased appetite · · ✓
SRODepressed mood · · ✓
SROIrritability · · ✓

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