CSQ-11451-99647

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 12-15
ZIP prefix: 119 / NY
Registered: 2021-08-29

Relationship: Child or adolescent in my care
Guardian: TUB-29017-70619
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-29
Registered in v-safe
2021-08-29
Dose 1 — Pfizer-BioNTech
2021-08-29
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-30
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do their normal daily activities

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activities

Adult check-in
2021-09-02
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Poor · Fatigue or tiredness · Be unable to do their normal daily activities

Adult check-in
2021-09-05
Health check-in — day 7, dose 1, dependent
Feeling: Fair · Fatigue or tiredness · Be unable to do their normal daily activities

Adult check-in
2021-09-12
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-09-19
Dose 2 — Pfizer-BioNTech
2021-09-19
Health check-in — day 0, dose 2, dependent
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do their normal daily activities

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do their normal daily activities

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-09-25
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-09-26
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2021-10-11
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-10-17
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2021-10-24
Survey response — day 35, dose 2, dependent
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Body rash

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Report sent to call center — day 35, dose 2, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-27
Call 1 — Left Voicemail
2021-11-03
Survey response — day 42, dose 2, dependent
MedDRA: Pityriasis rosea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Developed Pityriasis Rosea

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — day 42, dose 2, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2022-02-26
Dose 3 — Pfizer-BioNTech
2022-03-05
Health check-in — day 7, dose 3, dependent
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-03-14
Survey response — day 14, dose 3, dependent
MedDRA: Pain, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: Fever, body aches

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Survey response — day 21, dose 3, dependent
MedDRA: Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-04-02
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-04-10
Survey response — day 42, dose 3, dependent
MedDRA: Cough, Headache, Nasal congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, stuffy nose, cough, sneezing

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-29	Pfizer-BioNTech	No
2	2021-09-19	Pfizer-BioNTech	No
3	2022-02-26	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-09-02

Systemic reaction (other): Runny nose

Release 10 — day 35, dose 2, dependent

2021-10-24

Symptoms: Body rash

Release 10 — day 42, dose 2, dependent

2021-11-03

Symptoms: Developed Pityriasis Rosea

Release 11 — day 14, dose 3, dependent

2022-03-14

Symptoms: Fever, body aches

Release 11 — day 21, dose 3, dependent

2022-03-21

Symptoms: Muscle aches

Release 11 — day 42, dose 3, dependent

2022-04-10

Symptoms: Headaches, stuffy nose, cough, sneezing

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	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pain	·	·	✓
SD	Pityriasis rosea	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Sneezing	·	·	✓
SRO	Rhinorrhoea	✓	·	✓

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