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CQD-32810-38432

2 vaccinations 6 coded responses 15 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
915 / CA
Registered
2021-11-11
Relationship
Child or adolescent in my care
Guardian
3HY-32203-48395
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-11
    Registered in v-safe
  3. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-11-12
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Attention-seeking behaviour, Fatigue, Irritability — Feeling: Good · Site: Redness, Swelling · Muscle or body aches
    Free text: grouchy and needy behaviors, prob tiredness
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-11-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-11-16
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-23
    Survey response — day 14, dose 1, dependent
    MedDRA: Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: sneezing, runny nose and sore throat
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-30
    Dose 2 — Pfizer-BioNTech
  11. 2021-12-07
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-12-14
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2021-12-28
    Survey response — day 28, dose 2, dependent
    MedDRA: Asthenia, Fatigue — Feeling: Good
    Free text: tired occasionally, struggling with energy levels
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-05
    Survey response — day 35, dose 2, dependent
    MedDRA: Cough, Fatigue, Pain, Sneezing — Feeling: Good · Be unable to do your normal daily activities
    Free text: i think our family was exposed to a lot of sick people during holiday shopping and normal daily activities; we live in (b)(6) california. none of us were tested but hazel was very tired and sneezed, coughed, had general body aches soreness
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-11
    Survey response — day 42, dose 2, dependent
    MedDRA: Fatigue — Feeling: Good
    Free text: lasting fatigue
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-01
  17. 2022-05-31
  18. 2022-12-01
    Survey response — 12 months, dose 2, dependent
    MedDRA: Decreased appetite, Fatigue, Malaise, Pyrexia, Upper respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: we have been continually sick as a family since early september 2022 hazel has had 3 bouts of fever, fatigue, upper resp congestion and lack of appetite no covid tests were performed, we ran out and have not purchased more
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-09Pfizer-BioNTech No
22021-11-30Pfizer-BioNTech No

Free text

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

2021-11-12

Systemic reaction (other): grouchy and needy behaviors, prob tiredness

Release 10 — day 14, dose 1, dependent

2021-11-23

Symptoms: sneezing, runny nose and sore throat

Release 10 — day 28, dose 2, dependent

2021-12-28

Symptoms: tired occasionally, struggling with energy levels

Release 10 — day 35, dose 2, dependent

2022-01-05

Symptoms: i think our family was exposed to a lot of sick people during holiday shopping and normal daily activities; we live in (b)(6) california. none of us were tested but hazel was very tired and sneezed, coughed, had general body aches soreness
redacted (b)(6)

Release 10 — day 42, dose 2, dependent

2022-01-11

Symptoms: lasting fatigue

Release 12 — 12 months, dose 2, dependent

2022-12-01

Symptoms: we have been continually sick as a family since early september 2022 hazel has had 3 bouts of fever, fatigue, upper resp congestion and lack of appetite no covid tests were performed, we ran out and have not purchased more

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
SDAsthenia · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDFatigue · · ✓
SDMalaise · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SDUpper respiratory tract congestion · · ✓
SROAttention-seeking behaviour · · ✓
SROFatigue · · ✓
SROIrritability · · ✓

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