K6R-12325-30860
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 913 / CA
- Registered
- 2021-11-18
- Relationship
- Child or adolescent in my care
- Guardian
- 2B7-22020-21256
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-17
Dose 1 — Pfizer-BioNTech
-
2021-11-18
Registered in v-safe
-
2021-11-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-19
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-20
- 2021-11-21
-
2021-11-26
Survey response — day 7, dose 1, dependentMedDRA: Irritability, Restlessness — Feeling: Good · Fatigue or tirednessFree text: Irritability and restlessnessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
-
2021-12-08
Dose 2 — Pfizer-BioNTech
-
2021-12-08
Survey response — day 0, dose 2, dependentMedDRA: Irritability — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: IrritabilityMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-17
- 2021-12-22
-
2021-12-29
Survey response — day 21, dose 2, dependentMedDRA: Pyrexia — Feeling: GoodFree text: A few days of low grade fever but that could be anything. In general in good health.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
- 2022-01-13
- 2022-01-20
- 2022-03-11
- 2022-06-10
-
2022-12-10
Survey response — 12 months, dose 2, dependentMedDRA: Back pain, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, fever, aches back in October but negative at-home Covid testMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-17 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Irritability and restlessness
Release 10 — day 0, dose 2, dependent
Systemic reaction (other): Irritability
Release 10 — day 21, dose 2, dependent
Symptoms: A few days of low grade fever but that could be anything. In general in good health.
Release 12 — 12 months, dose 2, dependent
Symptoms: Sore throat, fever, aches back in October but negative at-home Covid test
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 | Back pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Restlessness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release