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S9X-68689-35000

4 vaccinations 2 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
117 / NY
Registered
2021-12-07
Relationship
Child or adolescent in my care
Guardian
YSD-10222-35120
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-03
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-07
    Registered in v-safe
  4. 2021-12-07
  5. 2021-12-29
    Dose 3 — Pfizer-BioNTech
  6. 2022-01-03
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-01-04
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-01-05
    Survey response — day 7, dose 3, dependent
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Received flu vaccine yesterday. Arm is a bit sore but nothing else.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-21
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-01-26
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-02-04
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-02-09
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-03-30
  14. 2022-06-29
  15. 2022-10-15
    Dose 4 — Pfizer-BioNTech
  16. 2022-10-18
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · Site: Swelling · Headache
    Adult check-in
  17. 2022-10-24
    Survey response — day 7, dose 4, dependent
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bilateral pain in wrists (may be related to autoimmune condition)
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-11-07
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  19. 2023-01-14

Vaccinations

DoseDateManufacturerCo-administered
12021-05-13Pfizer-BioNTech No
22021-06-03Pfizer-BioNTech No
32021-12-29Pfizer-BioNTech No
42022-10-15Pfizer-BioNTech No

Free text

Release 10 — day 7, dose 3, dependent

2022-01-05

Systemic reaction (other): Received flu vaccine yesterday. Arm is a bit sore but nothing else.

Release 12 — day 7, dose 4, dependent

2022-10-24

Systemic reaction (other): Bilateral pain in wrists (may be related to autoimmune condition)

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
SROArthralgia · · ✓
SROPain in extremity · · ✓
SROPre-existing disease · · ✓

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