XA5-20828-64882
3 vaccinations
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 922 / CA
- Registered
- 2021-09-30
- Relationship
- Child or adolescent in my care
- Guardian
- YQW-25583-10587
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-23
Dose 1 — Pfizer-BioNTech
-
2021-08-10
Dose 2 — Pfizer-BioNTech
-
2021-09-30
Registered in v-safe
-
2021-11-09
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Coughing, runny nose, headache and sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Dose 3 — Pfizer-BioNTech
- 2022-01-11
-
2022-01-12
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal painAdult check-in
-
2022-01-13
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tirednessAdult check-in
-
2022-01-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-01-16
-
2022-01-17
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2022-01-18
-
2022-01-25
Survey response — day 14, dose 3, dependentMedDRA: Back pain, Pain — Feeling: FairFree text: Pain at back below the shoulder blade making a twist turn very painful as well as lifting arm upwardMedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
- 2022-02-08
- 2022-02-15
- 2022-02-22
- 2022-04-12
- 2022-07-13
- 2023-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-23 | Pfizer-BioNTech | No |
| 2 | 2021-08-10 | Pfizer-BioNTech | No |
| 3 | 2022-01-11 | Pfizer-BioNTech | No |
Free text
Release 10 — 3 months, dose 2, dependent
Symptoms: Coughing, runny nose, headache and sore throat
Release 11 — day 14, dose 3, dependent
Symptoms: Pain at back below the shoulder blade making a twist turn very painful as well as lifting arm upward
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 | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release