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UTW-21095-52840

2 vaccinations 1 coded response 21 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
275 / NC
Registered
2021-11-12
Relationship
Child or adolescent in my care
Guardian
SYN-29415-53751
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-12
    Registered in v-safe
  2. 2021-11-12
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-12
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-19
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-11-26
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-10
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-12-18
    Survey response — day 35, dose 1, dependent
    MedDRA: Loss of personal independence in daily activities, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school
    Free text: One sick day. Threw up and had a low grade fever for less than 24 hours. Stayed home from school for one day. Felt better quickly.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-20
    Dose 2 — Pfizer-BioNTech
  14. 2021-12-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-29
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-01-05
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-10
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-19
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-01-26
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-31
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-03-21
  23. 2022-06-22
  24. 2022-12-20

Vaccinations

DoseDateManufacturerCo-administered
12021-11-12Pfizer-BioNTech No
22021-12-20Pfizer-BioNTech No

Free text

Release 10 — day 35, dose 1, dependent

2021-12-18

Symptoms: One sick day. Threw up and had a low grade fever for less than 24 hours. Stayed home from school for one day. Felt better quickly.

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
SDLoss of personal independence in daily activities · · ✓
SDPyrexia · · ✓
SDVomiting · · ✓

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

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