KSH-30215-44362
3 vaccinations
7 coded responses
27 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 106 / NY
- Registered
- 2022-06-17
- Relationship
- Child or adolescent in my care
- Guardian
- 26K-18816-76048
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-05-27
Dose 1 — Pfizer-BioNTech
-
2022-06-17
Registered in v-safe
-
2022-06-17
Dose 2 — Pfizer-BioNTech
- 2022-06-17
- 2022-06-18
- 2022-06-19
- 2022-06-20
-
2022-06-22
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-06-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-24
- 2022-07-01
-
2022-07-08
Survey response — day 21, dose 2, dependentMedDRA: Abdominal pain, Headache — Feeling: GoodFree text: Mild headache and tummy acheMedDRA releases: 2024-11 · check-in free text available
- 2022-07-15
- 2022-07-22
-
2022-07-29
Survey response — day 42, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
-
2022-11-06
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-07
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · HeadacheAdult check-in
-
2022-11-08
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · NoneAdult check-in
-
2022-11-09
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-11-10
-
2022-11-11
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-11-12
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-11-13
-
2022-11-20
Survey response — day 14, dose 3, dependentMedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Survey response — day 21, dose 3, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
-
2022-12-11
Survey response — day 35, dose 3, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-12-19
Survey response — day 42, dose 3, dependentMedDRA: Nausea, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nausea, mild feverMedDRA releases: 2024-11 · check-in free text available
-
2023-02-05
Survey response — 3 months, dose 3, dependentMedDRA: Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-05-27 | Pfizer-BioNTech | No |
| 2 | 2022-06-17 | Pfizer-BioNTech | No |
| 3 | 2022-11-06 | Pfizer-BioNTech | Flu |
Free text
Release 12 — day 21, dose 2, dependent
Symptoms: Mild headache and tummy ache
Release 12 — day 42, dose 2, dependent
Symptoms: Runny nose
Release 12 — day 14, dose 3, dependent
Symptoms: Headache
Release 12 — day 21, dose 3, dependent
Symptoms: Runny nose
Release 12 — day 35, dose 3, dependent
Symptoms: Runny nose
Release 12 — day 42, dose 3, dependent
Symptoms: Nausea, mild fever
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 | Abdominal pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release