Y4C-33020-50575
2 vaccinations
1 coded response
20 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 395 / MS
- Registered
- 2021-12-08
- Relationship
- Child or adolescent in my care
- Guardian
- 6VM-18799-72475
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-08
Registered in v-safe
-
2021-12-08
Dose 1 — Pfizer-BioNTech
- 2021-12-08
-
2021-12-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-15
- 2021-12-25
-
2021-12-29
Dose 2 — Pfizer-BioNTech
-
2021-12-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-12-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-07
- 2022-01-13
- 2022-01-19
-
2022-01-26
Survey response — day 28, dose 2, dependentMedDRA: Ageusia, Dizziness, Exposure to SARS-CoV-2, Oropharyngeal pain, Pyrexia, Quarantine, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever, sore throat, dizzy, loss of taste; mother was + for covid and Harper had to isolate. Provider assumed + for Harper even with test negative due to shared home and sxs at the timeMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — day 28, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-27
- 2022-01-28
-
2022-01-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-02
- 2022-02-09
- 2022-04-01
- 2022-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-08 | Pfizer-BioNTech | No |
| 2 | 2021-12-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 11 — day 28, dose 2, dependent
Symptoms: Fever, sore throat, dizzy, loss of taste; mother was + for covid and Harper had to isolate. Provider assumed + for Harper even with test negative due to shared home and sxs at the time
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 | Ageusia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release