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Q2C-20645-84831

3 vaccinations 2 coded responses 10 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
554 / MN
Registered
2021-12-19
Relationship
Child or adolescent in my care
Guardian
SPN-26197-59586
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-04
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-19
    Registered in v-safe
  4. 2022-01-07
    Dose 3 — Pfizer-BioNTech
  5. 2022-01-08
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2022-01-13
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Fatigue or tiredness, Abdominal pain
    Adult check-in
  7. 2022-01-14
    Survey response — day 7, dose 3, dependent
    MedDRA: Premenstrual syndrome — Feeling: Fair · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to work or attend school
    Free text: PMS
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-21
    Survey response — day 14, dose 3, dependent
    MedDRA: Abdominal pain upper, Brain fog, Chills, Dizziness, Headache, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stomach ache, chills, headache, brain fog, dizziness, covid test taken but pending results
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-28
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-02-06
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-02-11
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-02-18
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-04-08
  14. 2022-07-10

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Pfizer-BioNTech No
22021-06-04Pfizer-BioNTech No
32022-01-07Pfizer-BioNTech No

Free text

Release 10 — day 7, dose 3, dependent

2022-01-14

Systemic reaction (other): PMS

Release 11 — day 14, dose 3, dependent

2022-01-21

Symptoms: Stomach ache, chills, headache, brain fog, dizziness, covid test taken but pending results

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
SDAbdominal pain upper · · ✓
SDBrain fog · · ✓
SDChills · · ✓
SDDizziness · · ✓
SDHeadache · · ✓
SDSARS-CoV-2 test · · ✓
SROPremenstrual syndrome · · ✓

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