R62-30566-06984
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 078 / NJ
- Registered
- 2021-12-20
- Relationship
- Child or adolescent in my care
- Guardian
- GBW-17234-38019
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-24
Dose 1 — Pfizer-BioNTech
-
2021-12-20
Registered in v-safe
-
2021-12-20
Dose 2 — Pfizer-BioNTech
-
2021-12-20
Survey response — day 0, dose 2, dependentMedDRA: Neck pain — Feeling: Good · Site: PainFree text: Neck painMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-22
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-29
- 2022-01-03
- 2022-01-12
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-21
- 2022-06-22
-
2022-12-22
Survey response — 12 months, dose 2, dependentMedDRA: Dyspnoea, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Shortness of breath when active · Healthcare visit (other): She's still getting a work upMedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — 12 months, dose 2, dependentBe unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-24 | Pfizer-BioNTech | No |
| 2 | 2021-12-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 0, dose 2, dependent
Systemic reaction (other): Neck pain
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Dizziness
Release 12 — 12 months, dose 2, dependent
Symptoms: Shortness of breath when active
Healthcare visit (other): She's still getting a work up
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release