CUP-71465-79546
4 vaccinations
4 coded responses
15 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 176 / PA
- Registered
- 2021-11-04
- Relationship
- Child or adolescent in my care
- Guardian
- 4E4-25230-34668
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-11-03
Dose 1 — Pfizer-BioNTech
-
2021-11-04
Registered in v-safe
-
2021-11-04
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Headache, Injection site bruising, Injection site haematoma — Feeling: Good · Site: Pain, SwellingFree text: Had headache a few hours after vaccine, now resolved. Also small bruising/hematoma at injection site.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site bruising, Injection site pain — Feeling: GoodFree text: Mild tenderness and bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site bruising — Feeling: GoodFree text: Small bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site bruising — Feeling: GoodFree text: Small bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
-
2021-11-24
Dose 2 — Pfizer-BioNTech
- 2021-12-10
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-02-23
-
2022-05-23
Dose 3 — Pfizer-BioNTech
- 2022-05-25
-
2022-10-19
Dose 4 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-03 | Pfizer-BioNTech | No |
| 2 | 2021-11-24 | Pfizer-BioNTech | No |
| 3 | 2022-05-23 | Pfizer-BioNTech | No |
| 4 | 2022-10-19 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Had headache a few hours after vaccine, now resolved. Also small bruising/hematoma at injection site.
Systemic reaction (other): Mild tenderness and bruise at injection site
Systemic reaction (other): Small bruise at injection site
Systemic reaction (other): Small bruise at injection site
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 | Headache | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site haematoma | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release