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KXK-23534-70855

2 vaccinations 2 coded responses 24 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
775 / TX
Registered
2021-09-20
Relationship
Child or adolescent in my care
Guardian
DFE-16721-46280
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-09-20
    Registered in v-safe
  2. 2021-09-20
    Dose 1 — Pfizer-BioNTech
  3. 2021-09-20
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-09-21
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-09-22
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  6. 2021-09-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  7. 2021-09-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  8. 2021-09-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Swelling · None
    Adult check-in
  9. 2021-09-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Swelling · None
    Adult check-in
  10. 2021-09-27
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-10-04
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-10-11
    Health check-in — day 21, dose 1, dependent
    Feeling: Fair
    Adult check-in
  13. 2021-10-18
    Survey response — day 28, dose 1, dependent
    MedDRA: Ageusia, Anosmia, Cough, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, Sputum discoloured — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough sore throat fever body ache runny nose colored mucus she said no taste or smell but i believe it was due to her stuffy runny nose.. She tested negative
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-21
    Dose 2 — Pfizer-BioNTech
  15. 2021-10-21
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-10-23
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-10-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-10-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-10-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2021-10-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  21. 2021-10-28
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  22. 2021-11-04
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2021-11-11
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2021-11-19
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2021-11-27
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2021-12-02
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-01-20
    Survey response — 3 months, dose 2, dependent
    MedDRA: Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: (b)(6) experienced Covid syptoms two separate times and ended up being negative. Even when the whole household was positive
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-09-20Pfizer-BioNTech No
22021-10-21Pfizer-BioNTech No

Free text

Release 10 — day 28, dose 1, dependent

2021-10-18

Symptoms: Cough sore throat fever body ache runny nose colored mucus she said no taste or smell but i believe it was due to her stuffy runny nose.. She tested negative

Release 10 — 3 months, dose 2, dependent

2022-01-20

Symptoms: (b)(6) experienced Covid syptoms two separate times and ended up being negative. Even when the whole household was positive
redacted (b)(6)

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
SDAgeusia · · ✓
SDAnosmia · · ✓
SDCough · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSputum discoloured · · ✓

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