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KNG-10396-44182

4 vaccinations 4 coded responses 44 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
12-15
ZIP prefix
063 / CT
Registered
2021-06-29
Relationship
Child or adolescent in my care
Guardian
5DW-20758-94729
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-06-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-29
    Registered in v-safe
  3. 2021-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-07-05
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-07-12
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-07-19
    Dose 2 — Pfizer-BioNTech
  12. 2021-07-19
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-07-20
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do their normal daily activities
    Adult check-in
  14. 2021-07-21
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-07-22
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-07-23
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-07-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-07-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2021-07-27
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2021-08-02
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2021-08-09
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2021-08-16
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2021-08-25
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2021-08-30
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2021-10-20
  26. 2022-01-17
  27. 2022-02-11
    Dose 3 — Pfizer-BioNTech
  28. 2022-02-12
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  29. 2022-02-13
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Axillary pain — Feeling: Good · Site: Pain
    Free text: Pain in the underarm of the arm the shot was given
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-02-14
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  31. 2022-02-15
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  32. 2022-02-17
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  33. 2022-02-18
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  34. 2022-02-25
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  35. 2022-03-05
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2022-03-11
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  37. 2022-03-18
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  38. 2022-03-27
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  39. 2022-05-15
    Survey response — 3 months, dose 3, dependent
    MedDRA: Chest pain, Influenza virus test negative, Office visit, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: She was such with chest pain, PC times out COVID and flu.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-15
    Report sent to call center — 3 months, dose 3, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  41. 2022-05-17
  42. 2022-08-12
  43. 2022-10-08
    Dose 4 — Pfizer-BioNTech
  44. 2022-10-14
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-10-18
    Survey response — day 7, dose 4, dependent
    MedDRA: Menstruation delayed — Feeling: Good
    Free text: Period a day late
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-22
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  47. 2022-10-29
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  48. 2022-11-07
    Survey response — day 28, dose 4, dependent
    MedDRA: Menstruation irregular — Feeling: Good
    Free text: Period came a week early
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-11-12
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  50. 2022-11-19
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  51. 2023-01-09

Vaccinations

DoseDateManufacturerCo-administered
12021-06-28Pfizer-BioNTech No
22021-07-19Pfizer-BioNTech No
32022-02-11Pfizer-BioNTech No
42022-10-08Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 3, dependent

2022-02-13

Systemic reaction (other): Pain in the underarm of the arm the shot was given

Release 11 — 3 months, dose 3, dependent

2022-05-15

Symptoms: She was such with chest pain, PC times out COVID and flu.

Release 12 — day 7, dose 4, dependent

2022-10-18

Systemic reaction (other): Period a day late

Release 12 — day 28, dose 4, dependent

2022-11-07

Symptoms: Period came a week early

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
SDChest pain · · ✓
SDInfluenza virus test negative · · ✓
SDMenstruation irregular · · ✓
SDOffice visit · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAxillary pain · · ✓
SROMenstruation delayed · · ✓

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