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
-
2021-11-08
Registered in v-safe
-
2021-11-08
Dose 1 — Pfizer-BioNTech
- 2021-11-08
-
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: 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 visitAdult check-in
-
2021-11-12
Report sent to call center — days 1–6 daily, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2021-11-15
Survey response — day 7, dose 1, dependentMedDRA: Nasal congestion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
-
2021-11-22
Survey response — day 14, dose 1, dependentMedDRA: Respiration abnormal — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Needs oral steroid to get breathing under controlMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
-
2021-11-29
Survey response — day 21, dose 1, dependentMedDRA: Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cough · Healthcare visit (other): Physician officeMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Report sent to call center — day 21, dose 1, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2021-11-30
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
-
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · HeadacheAdult check-in
- 2021-12-03
- 2021-12-04
- 2021-12-06
- 2021-12-08
- 2021-12-17
- 2021-12-22
- 2021-12-31
-
2022-01-14
Survey response — day 42, dose 2, dependentMedDRA: 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 visitFree text: Symptoms: Gynecological issues; mid-cycle pain, vomiting, ovarian cysts · Healthcare visit (other): Surgery for cyst removal from ovaryMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Report sent to call center — day 42, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-01-17
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-08 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-12 | Unsuccessful | |
| 2021-11-29 | Unsuccessful | |
| 2022-01-14 | Unsuccessful |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Nasal congestion
Release 10 — day 14, dose 1, dependent
Symptoms: Needs oral steroid to get breathing under control
Release 10 — day 21, dose 1, dependent
Release 10 — day 42, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Cyst removal | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Ovarian cyst | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Female reproductive tract disorder | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SD | Ovulation pain | · | · | ✓ |
| SD | Respiration abnormal | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release