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
-
2021-05-13
Dose 1 — Pfizer-BioNTech
-
2021-06-03
Dose 2 — Pfizer-BioNTech
-
2021-12-07
Registered in v-safe
- 2021-12-07
-
2021-12-29
Dose 3 — Pfizer-BioNTech
- 2022-01-03
- 2022-01-04
-
2022-01-05
Survey response — day 7, dose 3, dependentMedDRA: Pain in extremity — Feeling: GoodFree text: Received flu vaccine yesterday. Arm is a bit sore but nothing else.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-01-26
- 2022-02-04
- 2022-02-09
- 2022-03-30
- 2022-06-29
-
2022-10-15
Dose 4 — Pfizer-BioNTech
-
2022-10-18
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Swelling · HeadacheAdult check-in
-
2022-10-24
Survey response — day 7, dose 4, dependentMedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bilateral pain in wrists (may be related to autoimmune condition)MedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2023-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Pfizer-BioNTech | No |
| 2 | 2021-06-03 | Pfizer-BioNTech | No |
| 3 | 2021-12-29 | Pfizer-BioNTech | No |
| 4 | 2022-10-15 | Pfizer-BioNTech | No |
Free text
Release 10 — day 7, dose 3, dependent
Systemic reaction (other): Received flu vaccine yesterday. Arm is a bit sore but nothing else.
Release 12 — day 7, dose 4, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Arthralgia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release