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V93-22019-20097

1 vaccination 4 coded responses 8 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
05-11
ZIP prefix
598 / MT
Registered
2021-11-13
Relationship
Child or adolescent in my care
Guardian
K2B-29087-32575
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-13
    Registered in v-safe
  3. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-11-14
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain
    Free text: Mild runny nose
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-15
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain
    Free text: Mild runny nose
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-18
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-21
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-28
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-12-03
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-17
    Survey response — day 35, dose 1, dependent
    MedDRA: Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school
    Free text: Cold with runny nose and sneezing
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

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

Free text

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

2021-11-14

Systemic reaction (other): Mild runny nose

2021-11-15

Systemic reaction (other): Mild runny nose

2021-11-18

Systemic reaction (other): Runny nose

Release 10 — day 35, dose 1, dependent

2021-12-17

Symptoms: Cold with runny nose and sneezing

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
SDNasopharyngitis · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SRORhinorrhoea · · ✓

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