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UKU-10538-02373

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
604 / IL
Registered
2021-11-08
Relationship
Child or adolescent in my care
Guardian
JC2-24050-48206
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-08
    Registered in v-safe
  2. 2021-11-08
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-08
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Poor · Chills, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Adult check-in
  7. 2021-11-12
    Report sent to call center — days 1–6 daily, 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
    Emergency room or emergency department visit · 1 call case(s)
  8. 2021-11-15
    Survey response — day 7, dose 1, dependent
    MedDRA: Nasal congestion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school
    Free text: Nasal congestion
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-16
  10. 2021-11-22
    Survey response — day 14, dose 1, dependent
    MedDRA: Respiration abnormal — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Needs oral steroid to get breathing under control
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-22
  12. 2021-11-29
    Survey response — day 21, dose 1, dependent
    MedDRA: Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Cough · Healthcare visit (other): Physician office
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-11-29
    Report sent to call center — day 21, dose 1, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-11-30
  15. 2021-12-01
    Dose 2 — Pfizer-BioNTech
  16. 2021-12-01
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  18. 2021-12-03
  19. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Headache
    Adult check-in
  21. 2021-12-08
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  22. 2021-12-17
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2021-12-22
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2021-12-31
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-01-14
    Survey response — day 42, dose 2, dependent
    MedDRA: Cyst removal, Female reproductive tract disorder, Ovarian cyst, Ovulation pain, Vomiting — 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 · Emergency room or emergency department visit
    Free text: Symptoms: Gynecological issues; mid-cycle pain, vomiting, ovarian cysts · Healthcare visit (other): Surgery for cyst removal from ovary
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-01-14
    Report sent to call center — day 42, dose 2, 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
    Emergency room or emergency department visit · 1 call case(s)
  27. 2022-01-17
  28. 2022-03-02

Vaccinations

DoseDateManufacturerCo-administered
12021-11-08Pfizer-BioNTech No
22021-12-01Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-11-12 Unsuccessful
2021-11-29 Unsuccessful
2022-01-14 Unsuccessful

Free text

Release 10 — day 7, dose 1, dependent

2021-11-15

Systemic reaction (other): Nasal congestion

Release 10 — day 14, dose 1, dependent

2021-11-22

Symptoms: Needs oral steroid to get breathing under control

Release 10 — day 21, dose 1, dependent

2021-11-29

Symptoms: Cough
Healthcare visit (other): Physician office

Release 10 — day 42, dose 2, dependent

2022-01-14

Symptoms: Gynecological issues; mid-cycle pain, vomiting, ovarian cysts
Healthcare visit (other): Surgery for cyst removal from ovary

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
HCVOCyst removal · · ✓
HCVOOffice visit · · ✓
HCVOOvarian cyst · · ✓
SDCough · · ✓
SDFemale reproductive tract disorder · · ✓
SDOvarian cyst · · ✓
SDOvulation pain · · ✓
SDRespiration abnormal · · ✓
SDVomiting · · ✓
SRONasal congestion · · ✓

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