MJ6-31378-41000
2 vaccinations
0 coded responses
16 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 777 / TX
- Registered
- 2021-07-11
- Relationship
- Child or adolescent in my care
- Guardian
- 3ZS-20053-90549
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-10
Dose 1 — Pfizer-BioNTech
-
2021-07-11
Registered in v-safe
-
2021-07-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-07-12
-
2021-07-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
-
2021-07-14
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-07-15
-
2021-07-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-07-17
- 2021-07-24
-
2021-07-31
Dose 2 — Pfizer-BioNTech
-
2021-08-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
-
2021-08-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-08-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-08-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Swelling · NoneAdult check-in
- 2021-08-05
- 2021-08-06
- 2021-08-07
- 2021-08-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-10 | Pfizer-BioNTech | No |
| 2 | 2021-07-31 | Pfizer-BioNTech | No |
Free text
None.
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
No MedDRA codes.