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QSS-11481-44157

3 vaccinations 1 coded response 16 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
852 / AZ
Registered
2021-12-20
Relationship
Child or adolescent in my care
Guardian
4F8-10032-24957
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-03
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-20
    Registered in v-safe
  4. 2021-12-20
    Dose 3 — Pfizer-BioNTech
  5. 2021-12-20
    Survey response — day 0, dose 3, dependent
    MedDRA: Contusion, Vasodilatation — Feeling: Fair · Site: Pain, Redness · Rash, not including the immediate area around the injection site
    Free text: Inner arm along same arm (left) she has a speckled bruising in a y-shape following the lines of her veins. We are worried. Is this a serious side-effect.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-21
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Nausea
    Adult check-in
  7. 2021-12-22
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-12-23
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-24
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-25
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-12-26
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-12-27
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-01-03
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-01-10
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2022-01-19
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-24
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-31
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  18. 2022-03-21
  19. 2022-06-20
  20. 2022-12-20

Vaccinations

DoseDateManufacturerCo-administered
12021-05-13Pfizer-BioNTech No
22021-06-03Pfizer-BioNTech No
32021-12-20Pfizer-BioNTech No

Free text

Release 10 — day 0, dose 3, dependent

2021-12-20

Systemic reaction (other): Inner arm along same arm (left) she has a speckled bruising in a y-shape following the lines of her veins. We are worried. Is this a serious side-effect.

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
SROContusion · · ✓
SROVasodilatation · · ✓

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

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