C4J-17016-83972
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 926 / CA
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- 7S3-25773-16525
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-09
Registered in v-safe
-
2021-11-09
Dose 1 — Pfizer-BioNTech
- 2021-11-09
-
2021-11-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-12
- 2021-11-13
- 2021-11-15
- 2021-11-17
- 2021-11-24
-
2021-11-30
Dose 2 — Pfizer-BioNTech
-
2021-11-30
Survey response — day 0, dose 2, dependentMedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good · Headache · Be unable to work or attend schoolFree text: Dizzy just after vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-07
- 2021-12-14
- 2021-12-30
- 2022-01-04
- 2022-01-11
- 2022-03-01
-
2022-05-31
Survey response — 6 months, dose 2, dependentMedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Survey response — 12 months, dose 2, dependentMedDRA: Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: She has had fevers twice and now has a coldMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-11-30 | Pfizer-BioNTech | No |
Free text
Release 10 — day 0, dose 2, dependent
Systemic reaction (other): Dizzy just after vaccination
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Dizzy
Release 11 — 6 months, dose 2, dependent
Symptoms: Headache
Release 12 — 12 months, dose 2, dependent
Symptoms: She has had fevers twice and now has a cold
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release