EBZ-17099-76469
3 vaccinations
4 coded responses
14 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 222 / VA
- Registered
- 2022-05-28
- Relationship
- Child or adolescent in my care
- Guardian
- W2W-92344-73368
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-26
Dose 1 — Pfizer-BioNTech
-
2021-11-27
Dose 2 — Pfizer-BioNTech
-
2022-05-26
Dose 3 — Pfizer-BioNTech
-
2022-05-28
Registered in v-safe
-
2022-05-28
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · DiarrheaAdult check-in
-
2022-05-29
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough — Feeling: Fair · Site: PainFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Congestion and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
-
2022-06-01
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Congestion and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-06-16
-
2022-06-23
Survey response — day 28, dose 3, dependentMedDRA: Cough, Lacrimation increased, Respiratory tract congestion — Feeling: FairFree text: Cough, congestion, watery eyesMedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-07
- 2022-08-27
- 2022-11-26
- 2023-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-26 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
| 3 | 2022-05-26 | Pfizer-BioNTech | No |
Free text
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Cough
Systemic reaction (other): Congestion and cough
Systemic reaction (other): Congestion and cough
Release 12 — day 28, dose 3, dependent
Symptoms: Cough, congestion, watery eyes
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 | Cough | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release