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E3H-82492-04601

3 vaccinations 3 coded responses 8 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
606 / IL
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
VMH-11856-66678
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-01
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-15
    Dose 3 — Pfizer-BioNTech
  4. 2022-06-28
    Registered in v-safe
  5. 2022-06-28
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2022-06-29
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2022-07-06
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  8. 2022-07-23
    Survey response — day 35, dose 3, dependent
    MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-27
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-09-14
    Survey response — 3 months, dose 3, dependent
    MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities
    Free text: covid
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-12-14
    Survey response — 6 months, dose 3, dependent
    MedDRA: Influenza, Influenza A virus test positive — Feeling: Good · Be unable to work or attend school
    Free text: Flu (confirmed via test, flu a)
    MedDRA releases: 2024-11 · check-in free text available
  12. 2023-06-15

Vaccinations

DoseDateManufacturerCo-administered
12021-11-10Pfizer-BioNTech No
22021-12-01Pfizer-BioNTech No
32022-06-15Pfizer-BioNTech No

Free text

Release 12 — day 35, dose 3, dependent

2022-07-23

Symptoms: Covid

Release 12 — 3 months, dose 3, dependent

2022-09-14

Symptoms: covid

Release 12 — 6 months, dose 3, dependent

2022-12-14

Symptoms: Flu (confirmed via test, flu a)

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
SDCOVID-19 · · ✓
SDInfluenza · · ✓
SDInfluenza A virus test positive · · ✓

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

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