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
-
2021-11-06
Dose 1 — Pfizer-BioNTech
-
2021-11-27
Dose 2 — Pfizer-BioNTech
-
2022-06-29
Registered in v-safe
-
2022-09-20
Dose 3 — Pfizer-BioNTech
-
2022-09-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-09-22
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Axillary lymph node painMedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
-
2022-09-27
Survey response — day 7, dose 3, dependentMedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Congested and sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Survey response — day 14, dose 3, dependentMedDRA: Anxiety, Attention deficit hyperactivity disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased anxiety and ADHDMedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Report sent to call center — day 14, dose 3, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-05
- 2022-10-11
- 2022-10-18
-
2022-10-25
Survey response — day 35, dose 3, dependentMedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Survey response — day 42, dose 3, dependentMedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Report sent to call center — day 42, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
| 3 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Axillary lymph node pain
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): Congested and sore throat
Release 12 — day 14, dose 3, dependent
Symptoms: Increased anxiety and ADHD
Release 12 — day 35, dose 3, dependent
Symptoms: Upper respiratory infection
Release 12 — day 42, dose 3, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Anxiety | · | · | ✓ |
| SD | Attention deficit hyperactivity disorder | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release