U9N-17348-83250
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 112 / NY
- Registered
- 2021-09-08
- Relationship
- Child or adolescent in my care
- Guardian
- DZ9-32278-26839
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-08
Registered in v-safe
-
2021-09-08
Dose 1 — Pfizer-BioNTech
-
2021-09-08
Survey response — day 0, dose 1, dependentMedDRA: Nasal congestion — Feeling: FairFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-09-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activitiesAdult check-in
-
2021-09-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-09-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-12
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Nasal congestion — Feeling: Fair · Site: Swelling, ItchingFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2021-09-22
- 2021-10-13
-
2022-03-11
Survey response — 6 months, dose 1, dependentMedDRA: Breast mass — Feeling: FairFree text: Lump in her breastMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-08 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 1, dependent
Systemic reaction (other): Nasal congestion
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Stuffy nose
Release 11 — 6 months, dose 1, dependent
Symptoms: Lump in her breast
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 |
|---|---|---|---|---|
| SD | Breast mass | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release