MUA-16963-06413
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 770 / TX
- Registered
- 2021-11-13
- Relationship
- Child or adolescent in my care
- Guardian
- J9T-58873-96888
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-13
Registered in v-safe
-
2021-11-13
Dose 1 — Pfizer-BioNTech
- 2021-11-13
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2021-11-19
- 2021-11-20
- 2021-11-27
-
2021-12-05
Dose 2 — Pfizer-BioNTech
-
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-07
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-12-08
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-12-09
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-10
- 2021-12-11
- 2021-12-12
-
2021-12-19
Survey response — day 14, dose 2, dependentMedDRA: Asthenia, Chills, Cough, Decreased appetite, Eye pain, Facial pain, Headache, Nasal congestion, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, chills, horrible cough, nasal congestion, headache, no appetite,weak, face and eyes ache.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-26
Survey response — day 21, dose 2, dependentMedDRA: Cough, Increased upper airway secretion, Pyrexia, Rhinorrhoea, Unevaluable event — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Upper respiratory, thick mucus cough, runny nose, feverMedDRA releases: 2024-11 · check-in free text available
-
2021-12-26
Report sent to call center — day 21, dose 2, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-30
- 2022-01-02
- 2022-01-09
- 2022-01-18
- 2022-03-06
- 2022-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 14, dose 2, dependent
Symptoms: Fever, chills, horrible cough, nasal congestion, headache, no appetite,weak, face and eyes ache.
Release 10 — day 21, dose 2, dependent
Symptoms: Upper respiratory, thick mucus cough, runny nose, fever
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 |
|---|---|---|---|---|
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Facial pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release