P2N-16367-36643
3 vaccinations
3 coded responses
6 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 028 / RI
- Registered
- 2021-10-19
- Relationship
- Child or adolescent in my care
- Guardian
- 4G2-75988-99781
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Dose 1 — Pfizer-BioNTech
-
2021-04-18
Dose 2 — Pfizer-BioNTech
-
2021-10-19
Registered in v-safe
- 2021-10-19
-
2021-10-27
Dose 3 — Pfizer-BioNTech
- 2021-11-29
- 2021-12-04
-
2021-12-08
Survey response — day 42, dose 3, dependentMedDRA: Breast pain, Chest pain, Unevaluable event — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain in chest near heart and right side of left breast. · Healthcare visit (other): Waiting on doctor for in patient visit.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Report sent to call center — day 42, dose 3, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-26
Survey response — 3 months, dose 3, dependentMedDRA: Sinusitis — Feeling: Good · 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: Sinus infection managed with augmentinMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 3 months, dose 3, 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)
- 2022-01-29
-
2022-10-29
Survey response — 12 months, dose 3, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive for Covid in May 2022 while traveling in PortugalMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Pfizer-BioNTech | No |
| 2 | 2021-04-18 | Pfizer-BioNTech | No |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 10 — day 42, dose 3, dependent
Symptoms: Pain in chest near heart and right side of left breast.
Healthcare visit (other): Waiting on doctor for in patient visit.
Release 11 — 3 months, dose 3, dependent
Symptoms: Sinus infection managed with augmentin
Release 12 — 12 months, dose 3, dependent
Symptoms: Positive for Covid in May 2022 while traveling in Portugal
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 | Unevaluable event | · | · | ✓ |
| SD | Breast pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release