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LVY-39178-77877

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
930 / CA
Registered
2021-06-22
Relationship
Child or adolescent in my care
Guardian
6SL-32826-35941
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-22
    Registered in v-safe
  3. 2021-06-22
    Dose 2 — Pfizer-BioNTech
  4. 2021-06-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-06-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-07-01
    Survey response — day 7, dose 2, dependent
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair
    Free text: Sore throat, congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-07
    Survey response — day 14, dose 2, dependent
    MedDRA: Aphonia, Respiratory tract congestion — Feeling: Good · Be unable to do their normal daily activities
    Free text: Congestion, loss of voice
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-15
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  9. 2021-07-22
    Health check-in — day 28, dose 2, dependent
    Feeling: Fair
    Adult check-in
  10. 2021-07-29
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2021-08-03
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2021-09-21

Vaccinations

DoseDateManufacturerCo-administered
12021-06-01Pfizer-BioNTech No
22021-06-22Pfizer-BioNTech No

Free text

Release 9 — day 7, dose 2, dependent

2021-07-01

Systemic reaction (other): Sore throat, congestion

Release 9 — day 14, dose 2, dependent

2021-07-07

Symptoms: Congestion, loss of voice

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
SDAphonia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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

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