L3R-13720-89263
4 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 221 / VA
- Registered
- 2021-11-07
- Relationship
- Child or adolescent in my care
- Guardian
- R49-80684-69664
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-07
Registered in v-safe
-
2021-11-07
Dose 1 — Pfizer-BioNTech
-
2021-11-07
Survey response — day 0, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Runny NoseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: Good · Site: PainFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Fatigue or tiredness, Vomiting · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Congested · Healthcare visit (other): Got tested for Covid but it was negativeMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-11
- 2021-11-13
- 2021-11-14
- 2021-11-21
-
2021-11-28
Dose 2 — Pfizer-BioNTech
-
2021-11-28
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-29
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Respiratory tract congestion — Feeling: Good · Site: PainFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2021-12-27
- 2022-01-02
- 2022-01-09
- 2022-02-27
-
2022-05-26
Dose 3 — Pfizer-BioNTech
- 2022-05-26
-
2022-05-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-05-28
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-05-29
-
2022-05-31
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-06-01
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-08-25
-
2022-11-23
Dose 4 — Moderna
- 2022-11-26
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-07 | Pfizer-BioNTech | No |
| 2 | 2021-11-28 | Pfizer-BioNTech | No |
| 3 | 2022-05-26 | Pfizer-BioNTech | No |
| 4 | 2022-11-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 0, dose 1, dependent
Systemic reaction (other): Runny Nose
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Runny nose
Systemic reaction (other): Congested
Healthcare visit (other): Got tested for Covid but it was negative
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Congestion
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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release