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NBG-95389-47469

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
812 / CO
Registered
2021-12-11
Relationship
Child or adolescent in my care
Guardian
NSF-28665-44769
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-11
    Registered in v-safe
  4. 2021-12-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-12-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-12-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school
    Adult check-in
  7. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Adult check-in
  8. 2021-12-15
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-12-16
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-17
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · Diarrhea
    Adult check-in
  11. 2021-12-24
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2021-12-31
    Survey response — day 21, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-07
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-01-14
    Survey response — day 35, dose 2, dependent
    MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend school
    Free text: Fever for 24 hours
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-21
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-03-11
    Survey response — 3 months, dose 2, dependent
    MedDRA: Conjunctivitis — Feeling: Fair
    Free text: Pink eye
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-06-10
  18. 2022-12-13
    Survey response — 12 months, dose 2, dependent
    MedDRA: Cough, Nausea, Pyrexia, Respiratory disorder, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Had some sort of upper respiratory illness in the last two months - cough, congestion, intermittent nausea, fever
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-19Pfizer-BioNTech No
22021-12-10Pfizer-BioNTech No

Free text

Release 10 — day 21, dose 2, dependent

2021-12-31

Symptoms: Runny nose

Release 10 — day 35, dose 2, dependent

2022-01-14

Symptoms: Fever for 24 hours

Release 11 — 3 months, dose 2, dependent

2022-03-11

Symptoms: Pink eye

Release 12 — 12 months, dose 2, dependent

2022-12-13

Symptoms: Had some sort of upper respiratory illness in the last two months - cough, congestion, intermittent nausea, 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

FieldPreferred term2021-092023-042024-11
SDConjunctivitis · · ✓
SDCough · · ✓
SDNausea · · ✓
SDPyrexia · · ✓
SDRespiratory disorder · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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