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QDK-44831-43990

4 vaccinations 7 coded responses 35 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
200 / DC
Registered
2021-11-06
Relationship
Child or adolescent in my care
Guardian
56D-21022-58572
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-06
    Registered in v-safe
  3. 2021-11-06
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-11-07
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Abdominal pain upper — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: stomach ache
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-10
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-12
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-19
    Survey response — day 14, dose 1, dependent
    MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I got a cold. I had a sore throat and a runny nose.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-28
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-11-30
    Dose 2 — Pfizer-BioNTech
  11. 2021-11-30
    Survey response — day 0, dose 2, dependent
    MedDRA: Muscular weakness — Feeling: Fair · Site: Pain
    Free text: weakness in injection arm.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-01
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Headache
    Free text: no appetite
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-02
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Asthenia, Injection site pain — Feeling: Good · Site: Pain
    Free text: (b)(6) felt a little bit low energy. pain In shot area is not noticeable unless you touch and apply pressure
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-07
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-15
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-12-23
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-01-02
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-13
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-05-29
    Dose 3 — Pfizer-BioNTech
  23. 2022-05-29
    Survey response — day 0, dose 3, dependent
    MedDRA: Injection site pain, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: mostly pain at site but muscle also is sore
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-05-30
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  25. 2022-05-31
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Eye pain, Headache — Feeling: Poor · Headache · Be unable to do your normal daily activities
    Free text: headache behind the eyes
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-06-01
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  27. 2022-06-02
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  28. 2022-06-03
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  29. 2022-06-04
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  30. 2022-06-05
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  31. 2022-06-13
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  32. 2022-06-20
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  33. 2022-06-30
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  34. 2022-08-28
  35. 2022-11-11
    Dose 4 — Moderna
    Co-administered: Flu
  36. 2022-11-11
    Health check-in — day 0, dose 4, dependent
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  37. 2022-11-13
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  38. 2022-11-18
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  39. 2022-12-04
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  40. 2022-12-23
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-05Pfizer-BioNTech No
22021-11-30Pfizer-BioNTech No
32022-05-29Pfizer-BioNTech No
42022-11-11Moderna Flu

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-07

Systemic reaction (other): stomach ache

Release 10 — day 14, dose 1, dependent

2021-11-19

Symptoms: I got a cold. I had a sore throat and a runny nose.

Release 10 — day 0, dose 2, dependent

2021-11-30

Systemic reaction (other): weakness in injection arm.

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-01

Systemic reaction (other): no appetite

2021-12-02

Systemic reaction (other): (b)(6) felt a little bit low energy. pain In shot area is not noticeable unless you touch and apply pressure
redacted (b)(6)

Release 11 — day 0, dose 3, dependent

2022-05-29

Systemic reaction (other): mostly pain at site but muscle also is sore

Release 11 — days 1–6 daily, dose 3, dependent

2022-05-31

Systemic reaction (other): headache behind the eyes

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
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDRhinorrhoea · · ✓
SROAbdominal pain upper · · ✓
SROAsthenia · · ✓
SRODecreased appetite · · ✓
SROEye pain · · ✓
SROHeadache · · ✓
SROInjection site pain · · ✓
SROMuscular weakness · · ✓
SROMyalgia · · ✓

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