BFZ-10504-15073

3 vaccinations 5 coded responses 36 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 05-11
ZIP prefix: 077 / NJ
Registered: 2021-11-13

Relationship: Child or adolescent in my care
Guardian: YGP-15986-26552
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-13
Registered in v-safe
2021-11-13
Dose 1 — Pfizer-BioNTech
2021-11-13
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to work or attend school

Adult check-in
2021-11-16
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Cough — Feeling: Fair · Headache · Be unable to work or attend school

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Cough, Nasal congestion — Feeling: Fair

Free text: Cough and stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-04
Dose 2 — Pfizer-BioNTech
2021-12-04
Survey response — day 0, dose 2, dependent
MedDRA: Cough, Nasal congestion — Feeling: Good

Free text: Cough and stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Cough and sniffle

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-08
Survey response — day 35, dose 2, dependent
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: COVID positive as of 1/2/2022

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-05
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-06-04
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-07-01
Dose 3 — Pfizer-BioNTech
2022-07-03
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-05
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-07-06
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-07-07
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-07-08
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-22
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-08-05
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-08-12
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-30
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-13	Pfizer-BioNTech	No
2	2021-12-04	Pfizer-BioNTech	No
3	2022-07-01	Pfizer-BioNTech	No

Free text

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

Systemic reaction (other): Cough

Systemic reaction (other): Cough and stuffy nose

Release 10 — day 0, dose 2, dependent

Systemic reaction (other): Cough and stuffy nose

Release 10 — days 1–6 daily, dose 2, dependent

Systemic reaction (other): Cough and sniffle

Release 10 — day 35, dose 2, dependent

Symptoms: COVID positive as of 1/2/2022

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	COVID-19	·	·	✓
SRO	Cough	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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