W2K-19503-91610
2 vaccinations
1 coded response
2 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 958 / CA
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- QCN-30821-93629
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-04
Dose 1 — Pfizer-BioNTech
-
2021-06-25
Dose 2 — Pfizer-BioNTech
-
2021-11-14
Registered in v-safe
- 2021-12-25
-
2022-06-25
Survey response — 12 months, dose 2, dependentMedDRA: Cough, Headache, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, fever, congestion, headache, body achesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-04 | Pfizer-BioNTech | No |
| 2 | 2021-06-25 | Pfizer-BioNTech | No |
Free text
Release 12 — 12 months, dose 2, dependent
Symptoms: Cough, fever, congestion, headache, body aches
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release