QFM-17416-51069
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 285 / NC
- Registered
- 2021-11-12
- Relationship
- Child or adolescent in my care
- Guardian
- 487-44525-10533
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-04
Dose 1 — Pfizer-BioNTech
-
2021-11-12
Registered in v-safe
-
2021-11-12
Survey response — day 7, dose 1, dependentMedDRA: Laboratory test abnormal, Parainfluenzae virus infection — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Tested positive for parainfluenza 5 days post vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — day 14, dose 1, dependentMedDRA: Headache — Feeling: GoodFree text: Head acheMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Dose 2 — Pfizer-BioNTech
- 2021-12-09
- 2021-12-17
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-02-23
- 2022-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-04 | Pfizer-BioNTech | No |
| 2 | 2021-11-24 | Pfizer-BioNTech | No |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Tested positive for parainfluenza 5 days post vaccine
Release 10 — day 14, dose 1, dependent
Symptoms: Head ache
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 |
|---|---|---|---|---|
| SD | Headache | · | · | ✓ |
| SRO | Laboratory test abnormal | · | · | ✓ |
| SRO | Parainfluenzae virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release