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UVN-21014-74116

3 vaccinations 3 coded responses 29 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
05-11
ZIP prefix
704 / LA
Registered
2021-11-08
Relationship
Child or adolescent in my care
Guardian
C9V-21504-05824
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-08
    Registered in v-safe
  3. 2021-11-08
    Health check-in — days 1–6 daily, 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: Good · None
    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
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-11-20
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-11-27
    Dose 2 — Pfizer-BioNTech
  10. 2021-11-27
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-11-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-11-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-11-30
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Oropharyngeal pain — Feeling: Fair · Fever
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-03
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Ear infection, Ear pain — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear infection & pain
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-03
    Report sent to call center — days 1–6 daily, dose 2, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2021-12-04
    Health check-in — day 7, dose 2, dependent
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-12-07
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  19. 2021-12-11
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2021-12-18
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2021-12-25
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-01-01
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-01-08
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-02-26
  25. 2022-05-21
    Dose 3 — Pfizer-BioNTech
  26. 2022-05-28
  27. 2022-05-28
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  28. 2022-06-04
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-06-11
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  30. 2022-06-20
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  31. 2022-06-25
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  32. 2022-07-02
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  33. 2022-08-20
  34. 2022-11-19
  35. 2023-05-21

Vaccinations

DoseDateManufacturerCo-administered
12021-11-06Pfizer-BioNTech No
22021-11-27Pfizer-BioNTech No
32022-05-21Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-12

Systemic reaction (other): Sore throat

Release 10 — days 1–6 daily, dose 2, dependent

2021-11-30

Systemic reaction (other): Sore throat

2021-12-03

Systemic reaction (other): Ear infection & pain

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
SROEar infection · · ✓
SROEar pain · · ✓
SROOropharyngeal pain · · ✓

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

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