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JQD-26780-61299

3 vaccinations 5 coded responses 14 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
550 / MN
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
K52-14982-02515
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-27
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-29
    Registered in v-safe
  4. 2022-09-20
    Dose 3 — Pfizer-BioNTech
  5. 2022-09-21
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2022-09-22
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Axillary lymph node pain
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-09-23
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-09-24
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-09-25
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-09-26
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-09-27
    Survey response — day 7, dose 3, dependent
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Congested and sore throat
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-10-04
    Survey response — day 14, dose 3, dependent
    MedDRA: Anxiety, Attention deficit hyperactivity disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Increased anxiety and ADHD
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-10-04
    Report sent to call center — day 14, dose 3, dependent
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  14. 2022-10-05
  15. 2022-10-11
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-10-18
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2022-10-25
    Survey response — day 35, dose 3, dependent
    MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Upper respiratory infection
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-11-03
    Survey response — day 42, dose 3, dependent
    MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear infection
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-11-03
    Report sent to call center — day 42, dose 3, dependent
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-11-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  21. 2022-11-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  22. 2022-12-20
  23. 2023-03-21

Vaccinations

DoseDateManufacturerCo-administered
12021-11-06Pfizer-BioNTech No
22021-11-27Pfizer-BioNTech No
32022-09-20Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 3, dependent

2022-09-22

Systemic reaction (other): Axillary lymph node pain

Release 12 — day 7, dose 3, dependent

2022-09-27

Systemic reaction (other): Congested and sore throat

Release 12 — day 14, dose 3, dependent

2022-10-04

Symptoms: Increased anxiety and ADHD

Release 12 — day 35, dose 3, dependent

2022-10-25

Symptoms: Upper respiratory infection

Release 12 — day 42, dose 3, dependent

2022-11-03

Symptoms: Ear infection

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
SDAnxiety · · ✓
SDAttention deficit hyperactivity disorder · · ✓
SDEar infection · · ✓
SDUpper respiratory tract infection · · ✓
SROLymph node pain · · ✓
SROOropharyngeal pain · · ✓
SRORespiratory tract congestion · · ✓

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