GFE-60819-76220
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 138 / NY
- Registered
- 2021-11-12
- Relationship
- Child or adolescent in my care
- Guardian
- WSW-18014-70927
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-12
Registered in v-safe
-
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · HeadacheAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-20
- 2021-12-02
- 2021-12-09
-
2021-12-16
Survey response — day 35, dose 1, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — day 42, dose 1, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid 19MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
Free text
Release 10 — day 35, dose 1, dependent
Symptoms: Covid
Release 10 — day 42, dose 1, dependent
Symptoms: Covid 19
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release