MVF-23893-24847
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 665 / KS
- Registered
- 2021-11-13
- Relationship
- Child or adolescent in my care
- Guardian
- GX6-13548-79856
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-11-13
Registered in v-safe
-
2021-11-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
-
2021-12-03
Dose 2 — Pfizer-BioNTech
- 2021-12-03
-
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Headache, Abdominal painAdult check-in
-
2021-12-05
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough — Feeling: Good · FeverFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-07
- 2021-12-08
-
2021-12-09
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Cough, Medical counselling, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Coughing · Healthcare visit (other): Drive through COVID test siteMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Report sent to call center — days 1–6 daily, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-10
Survey response — day 7, dose 2, dependentMedDRA: Cough, Oropharyngeal pain — Feeling: Good · Be unable to work or attend schoolFree text: Sore throat and coughingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-18
- 2021-12-26
- 2022-01-02
- 2022-01-07
- 2022-01-14
- 2022-03-04
- 2022-06-03
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Coughing
Systemic reaction (other): Coughing
Healthcare visit (other): Drive through COVID test site
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Sore throat and coughing
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 | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release