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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

  1. 2021-11-14
    Registered in v-safe
  2. 2021-11-14
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-14
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-11-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-11-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-11-18
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Excessive congestion and runny nose
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-19
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Congestion, runny nose, and cough.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-20
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Congestion and runny nose
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-21
    Survey response — day 7, dose 1, dependent
    MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Congestion, runny nose, and cough.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-28
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-12-09
    Survey response — day 21, dose 1, dependent
    MedDRA: Chest pain, Pain in extremity — Feeling: Good
    Free text: Chest pain and arm pain.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-12
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  14. 2021-12-19
    Health check-in — day 35, dose 1, dependent
    Feeling: Good
    Adult check-in
  15. 2022-02-14
  16. 2022-05-17
  17. 2022-11-17

Vaccinations

DoseDateManufacturerCo-administered
12021-11-14Pfizer-BioNTech No

Free text

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

2021-11-18

Systemic reaction (other): Excessive congestion and runny nose

2021-11-19

Systemic reaction (other): Congestion, runny nose, and cough.

2021-11-20

Systemic reaction (other): Congestion and runny nose

Release 10 — day 7, dose 1, dependent

2021-11-21

Systemic reaction (other): Congestion, runny nose, and cough.

Release 10 — day 21, dose 1, dependent

2021-12-09

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

FieldPreferred term2021-092023-042024-11
SDChest pain · · ✓
SDPain in extremity · · ✓
SROCough · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓

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