JD6-18173-04572
4 vaccinations
1 coded response
7 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 722 / AR
- Registered
- 2022-05-14
- Relationship
- Child or adolescent in my care
- Guardian
- LPS-82326-88132
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-04
Dose 1 — Pfizer-BioNTech
-
2021-12-01
Dose 2 — Pfizer-BioNTech
-
2022-05-14
Registered in v-safe
-
2022-05-25
Dose 3 — Pfizer-BioNTech
- 2022-06-01
-
2022-11-04
Dose 4 — Moderna
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
-
2023-02-03
Survey response — 3 months, dose 4, dependentMedDRA: Bronchitis, Cough — Feeling: GoodMedDRA releases: 2024-11
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-04 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-05-25 | Pfizer-BioNTech | No |
| 4 | 2022-11-04 | Moderna | No |
Free text
None.
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release