WWZ-32859-18212
1 vaccination
1 coded response
5 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 800 / CO
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- 8C5-88641-18266
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-04
Dose 1 — Pfizer-BioNTech
-
2021-11-06
Registered in v-safe
-
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Vomiting · Be unable to work or attend schoolAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-11-10
-
2021-11-25
Survey response — day 21, dose 1, dependentMedDRA: Abdominal pain, Gastroenteritis, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Threw up and abdominal pain x24 hours on Saturday night. Suspect gastroenteritis and not vaccine related. Negative Covid test Tuesday. Symptoms resolvedMedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-04 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Threw up and abdominal pain x24 hours on Saturday night. Suspect gastroenteritis and not vaccine related. Negative Covid test Tuesday. Symptoms resolved
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 | Abdominal pain | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release