DCT-28362-48100
2 vaccinations
10 coded responses
28 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 941 / CA
- Registered
- 2022-10-28
- Relationship
- Child or adolescent in my care
- Guardian
- 5YX-21283-82801
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-28
Registered in v-safe
-
2022-10-28
Dose 1 — Pfizer-BioNTech
-
2022-10-28
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · ChillsAdult check-in
-
2022-10-30
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2022-10-31
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Abdominal painAdult check-in
-
2022-11-01
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Stuffy headMedDRA releases: 2024-11 · check-in free text available
-
2022-11-02
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Site: Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-03
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Chest pain, Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to work or attend schoolFree text: Chest pain, just below the sternum, radiating outward. Began at 11am, continuing past 4pm (5 hours now).MedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Survey response — day 7, dose 1, dependentMedDRA: Chest pain — Feeling: Good · Be unable to work or attend schoolFree text: Acute chest pain that comes and goes. Usually around an hour each time.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Survey response — day 14, dose 1, dependentMedDRA: Chest pain, Lethargy, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest pain, mild and self resolving. Lethargy and inability to stay awake, but getting better. Note: 50% of her class is out with flu and/or RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-11-18
Survey response — day 21, dose 1, dependentMedDRA: Anger, Arrhythmia, Chest pain, Cough, Heart rate increased, Mood altered, Nasopharyngitis, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold. Cough. Mild fever. Chest pain. Arrthymia. Rapid heart rate. Mood Abnormal, fits of rage. But mostly expected. Delaying second shot out to 12 weeks total to decrease heart issues. No concerns, all easily explainable, and anticipated.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-25
Survey response — day 28, dose 1, dependentMedDRA: Chest pain, Mood swings, Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Caught a cold with high fever. Significant mood swings. Pulse OX stayed high, no worries there. Chest pains resolved within a day or two.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
-
2022-12-09
Survey response — day 42, dose 1, dependentMedDRA: Cough, Headache, Influenza virus test negative, Malaise, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Splitting headache Fever Cough, severe Vomiting Negative Covid test Negative Flu test Negative RSV Negative respiratory virus panel Whole family sick 14days (b)(6) just joined sick as wellMedDRA releases: 2024-11 · check-in free text available
-
2022-12-21
Dose 2 — Pfizer-BioNTech
-
2022-12-21
Survey response — day 0, dose 2, dependentMedDRA: Agitation, Energy increased — Feeling: GoodFree text: Very excited/high energy but nothing out of the normalMedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-12-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-12-24
- 2022-12-25
- 2022-12-26
- 2022-12-27
- 2022-12-28
- 2023-01-04
- 2023-01-11
- 2023-01-18
-
2023-01-25
Survey response — day 35, dose 2, dependentMedDRA: Chest pain, Headache, Neck pain, Pyrexia — Feeling: Poor · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-02-01
-
2023-03-22
Survey response — 3 months, dose 2, dependentMedDRA: COVID-19, Cardiac disorder, Nasopharyngitis, Oxygen saturation decreased, SARS-CoV-2 test positive — Feeling: GoodMedDRA releases: 2024-11
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-28 | Pfizer-BioNTech | No |
| 2 | 2022-12-21 | Pfizer-BioNTech | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Stuffy head
Systemic reaction (other): Chest pain, just below the sternum, radiating outward. Began at 11am, continuing past 4pm (5 hours now).
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Acute chest pain that comes and goes. Usually around an hour each time.
Release 12 — day 14, dose 1, dependent
Symptoms: Chest pain, mild and self resolving. Lethargy and inability to stay awake, but getting better. Note: 50% of her class is out with flu and/or RSV
Release 12 — day 21, dose 1, dependent
Symptoms: Cold. Cough. Mild fever. Chest pain. Arrthymia. Rapid heart rate. Mood Abnormal, fits of rage. But mostly expected. Delaying second shot out to 12 weeks total to decrease heart issues. No concerns, all easily explainable, and anticipated.
Release 12 — day 28, dose 1, dependent
Symptoms: Caught a cold with high fever. Significant mood swings. Pulse OX stayed high, no worries there. Chest pains resolved within a day or two.
Release 12 — day 42, dose 1, dependent
Symptoms: Splitting headache Fever Cough, severe Vomiting Negative Covid test Negative Flu test Negative RSV Negative respiratory virus panel Whole family sick 14days (b)(6) just joined sick as well
redacted (b)(6)
Release 12 — day 0, dose 2, dependent
Systemic reaction (other): Very excited/high energy but nothing out of the normal
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 | Anger | · | · | ✓ |
| SD | Arrhythmia | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mood altered | · | · | ✓ |
| SD | Mood swings | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Agitation | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Energy increased | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release