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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

  1. 2021-03-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-18
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-19
    Registered in v-safe
  4. 2021-10-19
  5. 2021-10-27
    Dose 3 — Pfizer-BioNTech
  6. 2021-11-29
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2021-12-04
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  8. 2021-12-08
    Survey response — day 42, dose 3, dependent
    MedDRA: Breast pain, Chest pain, Unevaluable event — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional
    Free 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
  9. 2021-12-08
    Report sent to call center — day 42, dose 3, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-12-09
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  11. 2022-01-26
    Survey response — 3 months, dose 3, dependent
    MedDRA: 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 visit
    Free text: Sinus infection managed with augmentin
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-01-26
    Report sent to call center — 3 months, dose 3, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2022-01-29
  14. 2022-10-29
    Survey response — 12 months, dose 3, dependent
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Positive for Covid in May 2022 while traveling in Portugal
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-28Pfizer-BioNTech No
22021-04-18Pfizer-BioNTech No
32021-10-27Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — day 42, dose 3, dependent

2021-12-08

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

2022-01-26

Symptoms: Sinus infection managed with augmentin

Release 12 — 12 months, dose 3, dependent

2022-10-29

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDBreast pain · · ✓
SDChest pain · · ✓
SDCOVID-19 · · ✓
SDSinusitis · · ✓

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