D72-30459-61847
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 194 / PA
- Registered
- 2021-08-31
- Relationship
- Child or adolescent in my care
- Guardian
- AGU-15329-41420
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-30
Dose 1 — Pfizer-BioNTechCo-administered: Flu:Meningitis
-
2021-08-31
Registered in v-safe
-
2021-08-31
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-09-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Headache, Nausea · Be unable to work or attend school, Be unable to do their normal daily activitiesAdult check-in
- 2021-09-02
- 2021-09-03
- 2021-09-04
- 2021-09-05
- 2021-09-06
- 2021-09-13
-
2021-09-20
Survey response — day 21, dose 1, dependentMedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
-
2021-09-24
Dose 2 — Pfizer-BioNTech
- 2021-09-24
-
2021-09-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2021-09-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-09-27
-
2021-09-28
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Ear pain, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat and earacheMedDRA releases: 2024-11 · check-in free text available
-
2021-09-28
Report sent to call center — days 1–6 daily, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-29
-
2021-09-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2021-09-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-01
Health check-in — day 7, dose 2, dependentFeeling: Poor · Headache, Fatigue or tirednessAdult check-in
- 2021-10-08
-
2021-10-15
Survey response — day 21, dose 2, dependentMedDRA: Nausea — Feeling: FairFree text: NauseaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
- 2021-10-31
- 2021-11-06
-
2021-12-24
Survey response — 3 months, dose 2, dependentMedDRA: Headache, Lethargy, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Sore throat lethargic and headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-12-27
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-30 | Pfizer-BioNTech | Flu:Meningitis |
| 2 | 2021-09-24 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — day 21, dose 1, dependent
Symptoms: Headaches
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Sore throat and earache
Release 10 — day 21, dose 2, dependent
Symptoms: Nausea
Release 10 — 3 months, dose 2, dependent
Symptoms: Sore throat lethargic and headache
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 | Headache | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release