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9WX-69220-53792

4 vaccinations 4 coded responses 47 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
985 / WA
Registered
2022-06-22
Relationship
Child or adolescent in my care
Guardian
Y3M-11041-61334
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-22
    Registered in v-safe
  2. 2022-06-28
    Dose 1 — Pfizer-BioNTech
  3. 2022-06-28
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Redness · None
    Adult check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-05
    Survey response — day 7, dose 1, dependent
    MedDRA: Abdominal pain upper — Feeling: Fair · Fever
    Free text: Stomach ache last night/early this morning
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-12
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-19
    Dose 2 — Pfizer-BioNTech
  12. 2022-07-19
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2022-07-19
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  14. 2022-07-20
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-07-21
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2022-07-22
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2022-07-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2022-07-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  20. 2022-07-26
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  21. 2022-08-02
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-08-09
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-08-16
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-08-23
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-08-30
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-09-13
    Dose 3 — Pfizer-BioNTech
  27. 2022-09-13
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2022-09-14
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2022-09-16
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  30. 2022-09-17
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  31. 2022-09-18
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  32. 2022-09-19
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  33. 2022-09-20
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  34. 2022-09-27
    Survey response — day 14, dose 3, dependent
    MedDRA: Cough — Feeling: Good
    Free text: She developed an intermittent cough on Sunday Bday 9/25/22
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-10-04
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2022-10-11
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  37. 2022-10-18
    Survey response — day 35, dose 3, dependent
    MedDRA: Cough, Sneezing — Feeling: Good
    Free text: Sneezing, slight cough cough today
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-10-25
    Survey response — day 42, dose 3, dependent
    MedDRA: Blood glucose decreased, Decreased appetite, Irritability, Lethargy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: She had blood work yesterday showing glucose at 56mg shortly after a large breakfast and then a donut immediately before testing. Very lethargic and irritable with no appetite for nearly 12 hours after that.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-12-13
  40. 2023-03-14
  41. 2023-04-21
    Dose 4 — Pfizer-BioNTech
  42. 2023-04-23
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  43. 2023-04-24
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  44. 2023-04-25
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  45. 2023-04-26
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  46. 2023-04-27
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  47. 2023-04-28
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  48. 2023-05-05
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  49. 2023-05-12
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  50. 2023-05-19
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  51. 2023-05-26
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  52. 2023-06-02
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Pfizer-BioNTech No
22022-07-19Pfizer-BioNTech No
32022-09-13Pfizer-BioNTech No
42023-04-21Pfizer-BioNTech No

Free text

Release 12 — day 7, dose 1, dependent

2022-07-05

Systemic reaction (other): Stomach ache last night/early this morning

Release 12 — day 14, dose 3, dependent

2022-09-27

Symptoms: She developed an intermittent cough on Sunday Bday 9/25/22

Release 12 — day 35, dose 3, dependent

2022-10-18

Symptoms: Sneezing, slight cough cough today

Release 12 — day 42, dose 3, dependent

2022-10-25

Symptoms: She had blood work yesterday showing glucose at 56mg shortly after a large breakfast and then a donut immediately before testing. Very lethargic and irritable with no appetite for nearly 12 hours after that.

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
SDBlood glucose decreased · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDIrritability · · ✓
SDLethargy · · ✓
SDSneezing · · ✓
SROAbdominal pain upper · · ✓

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