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KBL-83316-14856

2 vaccinations 2 coded responses 8 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
805 / CO
Registered
2021-12-08
Relationship
Child or adolescent in my care
Guardian
7QL-31104-70747
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-08
    Registered in v-safe
  3. 2021-12-08
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  4. 2021-12-13
    Dose 2 — Pfizer-BioNTech
  5. 2021-12-27
    Survey response — day 14, dose 2, dependent
    MedDRA: Abdominal pain upper — Feeling: Good
    Free text: Daily stomach pain
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-03
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  7. 2022-01-10
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2022-01-17
    Survey response — day 35, dose 2, dependent
    MedDRA: Malaise — Feeling: Poor · Be unable to work or attend school
    Free text: Symptoms of covid
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-24
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  10. 2022-03-14
  11. 2022-06-15

Vaccinations

DoseDateManufacturerCo-administered
12021-11-22Pfizer-BioNTech No
22021-12-13Pfizer-BioNTech No

Free text

Release 10 — day 14, dose 2, dependent

2021-12-27

Symptoms: Daily stomach pain

Release 10 — day 35, dose 2, dependent

2022-01-17

Symptoms: Symptoms of covid

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
SDAbdominal pain upper · · ✓
SDMalaise · · ✓

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