CFS-40577-87412
3 vaccinations
1 coded response
26 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 450 / OH
- Registered
- 2021-11-05
- Relationship
- Child or adolescent in my care
- Guardian
- ZJM-29010-95415
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-03
Dose 1 — Pfizer-BioNTech
-
2021-11-05
Registered in v-safe
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-13
- 2021-11-18
-
2021-11-24
Dose 2 — Pfizer-BioNTech
- 2021-11-24
-
2021-11-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · HeadacheAdult check-in
- 2021-11-27
- 2021-11-29
-
2021-12-02
Survey response — day 7, dose 2, dependentMedDRA: Epistaxis, Nasal dryness — Feeling: GoodFree text: Dry, mildly bloody noseMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-17
- 2022-01-07
- 2022-02-23
- 2022-05-25
-
2022-06-28
Dose 3 — Pfizer-BioNTech
-
2022-06-29
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-12
- 2022-07-25
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-03 | Pfizer-BioNTech | No |
| 2 | 2021-11-24 | Pfizer-BioNTech | No |
| 3 | 2022-06-28 | Pfizer-BioNTech | No |
Free text
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Dry, mildly bloody nose
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 |
|---|---|---|---|---|
| SRO | Epistaxis | · | · | ✓ |
| SRO | Nasal dryness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release