SHJ-41757-26780

3 vaccinations 1 coded response 3 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 12-15
ZIP prefix: 640 / MO
Registered: 2022-02-06

Relationship: Child or adolescent in my care
Guardian: XUQ-24056-15837
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-14
Dose 1 — Pfizer-BioNTech
2021-06-04
Dose 2 — Pfizer-BioNTech
2022-01-09
Dose 3 — Pfizer-BioNTech
2022-02-06
Registered in v-safe
2022-02-06
Health check-in — 28 day, dose 3, dependent
Feeling: Good

Adult check-in
2022-02-15
Survey response — 35 day, dose 3, dependent
MedDRA: Back pain, Fatigue, Muscle spasms — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-04-10
Health check-in — 3 month, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-14	Pfizer-BioNTech	No
2	2021-06-04	Pfizer-BioNTech	No
3	2022-01-09	Pfizer-BioNTech	No

Free text

Release 11

Symptoms: Back pain... Muscle cramping. Fatigue

Free-text releases are not linked to a specific 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
SD	Back pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Muscle spasms	·	·	✓

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