KBK-91031-43960

1 vaccination 1 coded response 2 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 462 / IN
Registered: 2021-06-25

Relationship: Child or adolescent in my care
Guardian: 4C4-12439-19341
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-06-25
Registered in v-safe
2021-06-25
Dose 1 — Pfizer-BioNTech
2021-06-25
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-06-26
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Injection site pain — Feeling: Fair · Fatigue or tiredness

Free text: Arm hurts at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-25	Pfizer-BioNTech	No

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-06-26

Systemic reaction (other): Arm hurts at injection site

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
SRO	Injection site pain	✓	✓	✓

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