WY3-26146-48894
1 vaccination
1 coded response
6 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 983 / WA
- Registered
- 2021-10-11
- Relationship
- Child or adolescent in my care
- Guardian
- 24N-32164-80972
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-30
Dose 1 — Pfizer-BioNTech
-
2021-10-11
Registered in v-safe
-
2021-10-11
Survey response — day 7, dose 1, dependentMedDRA: Abdominal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had severe abdominal pains about a week ago soon after the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-11
- 2021-12-30
- 2022-03-31
- 2022-10-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-30 | Pfizer-BioNTech | No |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Had severe abdominal pains about a week ago soon after the vaccine
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 |
|---|---|---|---|---|
| SRO | Abdominal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release