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TQS-30780-92594

2 vaccinations 2 coded responses 17 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
992 / WA
Registered
2021-11-19
Relationship
Child or adolescent in my care
Guardian
U79-50545-06528
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-19
    Registered in v-safe
  3. 2021-11-19
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-20
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-27
    Survey response — day 14, dose 1, dependent
    MedDRA: Body temperature increased — Feeling: Fair
    Free text: Low grade fever today 99.6.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-04
    Dose 2 — Pfizer-BioNTech
  7. 2021-12-04
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  8. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-12-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-12-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-12-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · Abdominal pain
    Adult check-in
  13. 2021-12-18
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2021-12-25
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-01-01
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-08
    Survey response — day 35, dose 2, dependent
    MedDRA: Croup infectious, Emergency care — Feeling: Fair · Be unable to work or attend school
    Free text: Severe croup 2/4/22 ER did not swab for covid
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-15
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-03-07
  19. 2022-06-04
  20. 2022-12-06

Vaccinations

DoseDateManufacturerCo-administered
12021-11-13Pfizer-BioNTech No
22021-12-04Pfizer-BioNTech No

Free text

Release 10 — day 14, dose 1, dependent

2021-11-27

Symptoms: Low grade fever today 99.6.

Release 10 — day 35, dose 2, dependent

2022-01-08

Symptoms: Severe croup 2/4/22 ER did not swab for covid

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
SDBody temperature increased · · ✓
SDCroup infectious · · ✓
SDEmergency care · · ✓

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

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