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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

  1. 2021-11-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-04
    Registered in v-safe
  3. 2021-11-04
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Headache, Injection site bruising, Injection site haematoma — Feeling: Good · Site: Pain, Swelling
    Free 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
  4. 2021-11-05
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Injection site bruising, Injection site pain — Feeling: Good
    Free text: Mild tenderness and bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-06
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-07
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-11
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-11-17
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-11-24
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-10
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2021-12-15
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2021-12-22
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2021-12-29
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-05
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-02-23
  18. 2022-05-23
    Dose 3 — Pfizer-BioNTech
  19. 2022-05-25
  20. 2022-10-19
    Dose 4 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-11-03Pfizer-BioNTech No
22021-11-24Pfizer-BioNTech No
32022-05-23Pfizer-BioNTech No
42022-10-19Pfizer-BioNTech No

Free text

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

2021-11-04

Systemic reaction (other): Had headache a few hours after vaccine, now resolved. Also small bruising/hematoma at injection site.

2021-11-05

Systemic reaction (other): Mild tenderness and bruise at injection site

2021-11-06

Systemic reaction (other): Small bruise at injection site

2021-11-07

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

FieldPreferred term2021-092023-042024-11
SROHeadache · · ✓
SROInjection site bruising · · ✓
SROInjection site haematoma · · ✓
SROInjection site pain · · ✓

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