JRT-13047-79041
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 601 / IL
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- FQX-28254-05968
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-07
Dose 1 — Pfizer-BioNTechCo-administered: Flu
-
2021-11-09
Registered in v-safe
-
2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Joint painsFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
-
2021-11-28
Dose 2 — Pfizer-BioNTech
- 2021-11-28
-
2021-11-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Abdominal painAdult check-in
-
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-02
- 2021-12-04
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
-
2022-02-28
Survey response — 3 months, dose 2, dependentMedDRA: Chills, Headache, Influenza A virus test positive, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: She tested positive for Influenza-A. She had fever, chills, congestion, headache.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-07 | Pfizer-BioNTech | Flu |
| 2 | 2021-11-28 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Shortness of breath
Release 11 — 3 months, dose 2, dependent
Symptoms: She tested positive for Influenza-A. She had fever, chills, congestion, headache.
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 | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release