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H4D-70461-33081

2 vaccinations 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
142 / NY
Registered
2021-11-26
Relationship
Child or adolescent in my care
Guardian
337-19105-73654
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-26
    Registered in v-safe
  2. 2021-11-26
    Dose 1 — Pfizer-BioNTech
  3. 2021-12-01
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Injection site pain — Feeling: Good
    Free text: Sore arm at injection site 2-3 days after vax. No other symptoms. Forgot to complete the initial form check-ins.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-12-04
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-12-12
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  6. 2021-12-17
    Dose 2 — Pfizer-BioNTech
  7. 2021-12-25
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-01-02
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  9. 2022-01-07
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  10. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-26Pfizer-BioNTech No
22021-12-17Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-12-01

Systemic reaction (other): Sore arm at injection site 2-3 days after vax. No other symptoms. Forgot to complete the initial form check-ins.

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
SROInjection site pain · · ✓

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