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MXE-11484-94612

3 vaccinations 1 coded response 7 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
325 / FL
Registered
2021-06-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
NYG-30654-62137 Child or adolescent in my care · Male · 2022-09-01
PKK-29720-03404 Child or adolescent in my care · Male · 2022-09-01

Timeline

  1. 2021-01-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-28
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-21
    Registered in v-safe
  4. 2021-07-29
    Survey response — 6 months, dose 2
    MedDRA: Nephrolithiasis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Had a kidney stone. Probably unrelated to vaccine.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-07-29
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  6. 2021-08-02
  7. 2021-09-01
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  8. 2021-09-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  9. 2021-10-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  10. 2021-10-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  11. 2021-12-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-03-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  13. 2022-09-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Pfizer-BioNTech No
22021-01-28Pfizer-BioNTech No
32021-09-01Pfizer-BioNTech Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Had a kidney stone. Probably unrelated to vaccine.

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
SDNephrolithiasis ✓ · ✓

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

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