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AB5-13165-56444

2 vaccinations 3 coded responses 23 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
544 / WI
Registered
2021-11-05
Relationship
Child or adolescent in my care
Guardian
77E-47588-16485
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-05
    Registered in v-safe
  3. 2021-11-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-11-06
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-08
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: SARS-CoV-2 test positive — Feeling: Good
    Free text: (b)(6) tested positive for Covid 3 days after getting the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-11
    Survey response — day 7, dose 1, dependent
    MedDRA: SARS-CoV-2 test positive — Feeling: Good
    Free text: Positive covid test 11/7
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-18
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-11-25
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-11-26
    Dose 2 — Pfizer-BioNTech
  11. 2021-11-26
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-11-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-11-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-11-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-11-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-03
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2021-12-11
    Survey response — day 14, dose 2, dependent
    MedDRA: Diarrhoea, Pyrexia — Feeling: Good
    Free text: Diarrhea, fever
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-12-19
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2021-12-24
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2021-12-31
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-01-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-02-27
  25. 2022-05-27
  26. 2022-11-28

Vaccinations

DoseDateManufacturerCo-administered
12021-11-04Pfizer-BioNTech No
22021-11-26Pfizer-BioNTech No

Free text

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

2021-11-08

Systemic reaction (other): (b)(6) tested positive for Covid 3 days after getting the vaccine.
redacted (b)(6)

Release 10 — day 7, dose 1, dependent

2021-11-11

Systemic reaction (other): Positive covid test 11/7

Release 10 — day 14, dose 2, dependent

2021-12-11

Symptoms: Diarrhea, 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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓
SDPyrexia · · ✓
SROSARS-CoV-2 test positive · · ✓

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