DDN-30677-54100
4 vaccinations
2 coded responses
31 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 225 / VA
- Registered
- 2021-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- UT9-22045-81848
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-19
Dose 1 — Pfizer-BioNTech
-
2021-06-25
Registered in v-safe
- 2021-06-25
- 2021-06-26
- 2021-07-03
-
2021-07-10
Dose 2 — Pfizer-BioNTech
-
2021-07-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-07-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-07-13
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-07-14
- 2021-07-15
- 2021-07-16
- 2021-07-17
- 2021-07-24
- 2021-07-31
- 2021-08-07
- 2021-08-14
- 2021-08-21
- 2021-10-09
- 2022-01-08
-
2022-01-13
Dose 3 — Pfizer-BioNTech
- 2022-07-14
-
2022-10-14
Dose 4 — Pfizer-BioNTech
-
2022-10-16
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-17
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Diarrhea · Be unable to work or attend schoolAdult check-in
- 2022-10-18
- 2022-10-19
- 2022-10-20
-
2022-10-21
Survey response — day 7, dose 4, dependentMedDRA: Epistaxis — Feeling: GoodFree text: Nose bleeds, never experienced that before in her lifeMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-11
-
2022-11-18
Survey response — day 35, dose 4, dependentMedDRA: Arthralgia, Office visit, Pain in extremity, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Pain on left knee/leg · Healthcare visit (other): Orthopedic, pediatrician, physical therapist.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-18
Report sent to call center — day 35, dose 4, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-21
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-19 | Pfizer-BioNTech | No |
| 2 | 2021-07-10 | Pfizer-BioNTech | No |
| 3 | 2022-01-13 | Pfizer-BioNTech | No |
| 4 | 2022-10-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-18 | Unsuccessful |
Free text
Release 12 — day 7, dose 4, dependent
Systemic reaction (other): Nose bleeds, never experienced that before in her life
Release 12 — day 35, dose 4, dependent
Symptoms: Pain on left knee/leg
Healthcare visit (other): Orthopedic, pediatrician, physical therapist.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Epistaxis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release