BU6-14697-85821
1 vaccination
5 coded responses
15 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 974 / OR
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- L2T-12717-07124
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Registered in v-safe
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-18
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Excessive congestion and runny noseMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Congestion, runny nose, and cough.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Congestion and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Survey response — day 7, dose 1, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Congestion, runny nose, and cough.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
-
2021-12-09
Survey response — day 21, dose 1, dependentMedDRA: Chest pain, Pain in extremity — Feeling: GoodFree text: Chest pain and arm pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
- 2021-12-19
- 2022-02-14
- 2022-05-17
- 2022-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Excessive congestion and runny nose
Systemic reaction (other): Congestion, runny nose, and cough.
Systemic reaction (other): Congestion and runny nose
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Congestion, runny nose, and cough.
Release 10 — day 21, dose 1, dependent
Symptoms: Chest pain and arm 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release