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RW9-20788-68407

4 vaccinations 2 coded responses 10 check-ins 2 free-text entries 0 call cases
Sex
—
Age at first dose
12-15
ZIP prefix
222 / VA
Registered
2022-09-11
Relationship
Child or adolescent in my care
Guardian
FHX-31219-62662
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-15
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-05
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-07
    Dose 3 — Pfizer-BioNTech
  4. 2022-09-10
    Dose 4 — Pfizer-BioNTech
  5. 2022-09-11
    Registered in v-safe
  6. 2022-09-11
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2022-09-12
    Survey response — days 1–6 daily, dose 4, dependent
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Free text: Swollen lymph nodes, both armpits
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-09-17
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-09-24
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  10. 2022-10-01
    Health check-in — day 21, dose 4, dependent
    Feeling: Fair
    Adult check-in
  11. 2022-10-08
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  12. 2022-10-16
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  13. 2022-10-26
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  14. 2022-12-10
    Survey response — 3 months, dose 4, dependent
    MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: (b)(6) came down with a cold this week and is congested.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2023-03-11

Vaccinations

DoseDateManufacturerCo-administered
12021-05-15Pfizer-BioNTech No
22021-06-05Pfizer-BioNTech No
32022-01-07Pfizer-BioNTech No
42022-09-10Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 4, dependent

2022-09-12

Systemic reaction (other): Swollen lymph nodes, both armpits

Release 12 — 3 months, dose 4, dependent

2022-12-10

Symptoms: (b)(6) came down with a cold this week and is congested.
redacted (b)(6)

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 · · ✓
SDRespiratory tract congestion · · ✓
SROLymphadenopathy · · ✓

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