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UCV-76464-69083

1 vaccination 3 coded responses 7 check-ins 3 free-text entries 4 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
270 / NC
Registered
2021-09-16
Relationship
Child or adolescent in my care
Guardian
ZTR-11541-42819
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-16
    Registered in v-safe
  2. 2021-09-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-09-16
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-09-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  5. 2021-09-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do their normal daily activities
    Adult check-in
  6. 2021-09-19
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Oropharyngeal pain, Pruritus, Rhinorrhoea — Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Itching, sore throat, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-09-19
    Report sent to call center — days 1–6 daily, dose 1, dependent
    Be unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p
    1 call case(s)
  8. 2021-09-20
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Pruritus — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Itching,
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-20
    Report sent to call center — days 1–6 daily, dose 1, dependent
    Be unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p
    1 call case(s)
  10. 2021-09-21
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  11. 2021-09-21
    Report sent to call center — days 1–6 daily, dose 1, dependent
    Be unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p
    1 call case(s)
  12. 2021-09-23
  13. 2021-10-08
    Survey response — day 21, dose 1, dependent
    MedDRA: Dehydration, Diarrhoea, Fatigue, Nausea, Office visit, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Fever, exhaustion, dehydration, nausea, diarrhea · Healthcare visit (other): Specialist
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-08
    Report sent to call center — day 21, dose 1, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2021-10-13

Vaccinations

DoseDateManufacturerCo-administered
12021-09-16Pfizer-BioNTech No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-09-19

Systemic reaction (other): Itching, sore throat, runny nose

2021-09-20

Systemic reaction (other): Itching,

Release 10 — day 21, dose 1, dependent

2021-10-08

Symptoms: Fever, exhaustion, dehydration, nausea, diarrhea
Healthcare visit (other): Specialist

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
HCVOOffice visit · · ✓
SDDehydration · · ✓
SDDiarrhoea · · ✓
SDFatigue · · ✓
SDNausea · · ✓
SDPyrexia · · ✓
SROOropharyngeal pain · · ✓
SROPruritus · · ✓
SRORhinorrhoea · · ✓

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