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LP3-76895-90046

3 vaccinations 2 coded responses 16 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
770 / TX
Registered
2021-08-20
Relationship
Child or adolescent in my care
Guardian
PCC-16457-66350
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-08-20
    Registered in v-safe
  2. 2021-08-20
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-20
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-08-21
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-08-22
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-08-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Diarrhea
    Adult check-in
  7. 2021-08-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-08-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-08-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-08-28
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-09-03
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-09-10
    Dose 2 — Pfizer-BioNTech
  13. 2021-09-11
    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
  14. 2021-09-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do their normal daily activities
    Adult check-in
  15. 2021-09-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-09-15
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-10-11
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2021-12-12
    Survey response — 3 months, dose 2, dependent
    MedDRA: Bronchitis — Feeling: Good · Be unable to work or attend school
    Free text: Bronquitis
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-24
    Dose 3 — Pfizer-BioNTech
  20. 2022-03-11
    Survey response — day 14, dose 3, dependent
    MedDRA: Pericarditis — Feeling: Good · Be unable to work or attend school
    Free text: Pericarditis
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-20Pfizer-BioNTech No
22021-09-10Pfizer-BioNTech No
32022-02-24Pfizer-BioNTech No

Free text

Release 10 — 3 months, dose 2, dependent

2021-12-12

Symptoms: Bronquitis

Release 11 — day 14, dose 3, dependent

2022-03-11

Symptoms: Pericarditis

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
SDBronchitis · · ✓
SDPericarditis · · ✓

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

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