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F78-27637-76817

2 vaccinations 1 coded response 3 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
921 / CA
Registered
2021-06-22
Relationship
Child or adolescent in my care
Guardian
RM8-75474-50000
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-16
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-22
    Registered in v-safe
  4. 2021-06-22
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Peripheral swelling — Feeling: Fair · Be unable to do their normal daily activities
    Free text: Bump under armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-09-16
  6. 2021-12-15

Vaccinations

DoseDateManufacturerCo-administered
12021-05-22Pfizer-BioNTech No
22021-06-16Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 2, dependent

2021-06-22

Systemic reaction (other): Bump under armpit

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
SROPeripheral swelling ✓ ✓ ✓

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

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