ZRB-13596-92248

4 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 05-11
ZIP prefix: 961 / CA
Registered: 2021-11-11

Relationship: Child or adolescent in my care
Guardian: SBT-21464-35211
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-11
Registered in v-safe
2021-11-11
Dose 1 — Pfizer-BioNTech
2021-11-11
Survey response — day 0, dose 1, dependent
MedDRA: Injection site pain, Limb discomfort — Feeling: Good · Site: Pain

Free text: Said her arm felt a little weird before it started hurting at the injection site.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Crying, Pain — Feeling: Good · Site: Pain

Free text: She has cried/complained about the pain periodically but it has not affected her activities. It is improving.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-12-03
Dose 2 — Pfizer-BioNTech
Co-administered: Flu
2021-12-03
Health check-in — day 0, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Unevaluable event — Feeling: Good · Site: Itching

Free text: She won't take off her bandages so it's possible they're causing some irritation.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-27
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-17
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-24
Dose 3 — Pfizer-BioNTech
2022-05-24
Survey response — day 0, dose 3, dependent
MedDRA: Exposure to SARS-CoV-2, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Fever · Fatigue or tiredness

Free text: She was tired before the shot and had poor sleep. She was exposed to COVID but has tested negative with no symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Heart rate increased, Malaise, Respiratory rate increased, SARS-CoV-2 test negative — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Elevated heart & breathing rates. She was exposed to COVID prior to immunization and has symptoms similar to siblings but tested negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, congestion/croupy cough. Tested positive for COVID today. Was exposed prior to vax.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: COVID-19, Cough, Dysphonia — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Croupy cough and hoarse voice. COVID positive.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: COVID-19, Cough, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, coughing. (COVID Positive)

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-16
Survey response — day 21, dose 3, dependent
MedDRA: Productive cough, Secretion discharge — Feeling: Good

Free text: She has had a light cough, similar to her COVID cough but producing some mucus. We think it's allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-16
Health check-in — day 0, dose 4, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 4, dependent
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — day 14, dose 4, dependent
Feeling: Good

Adult check-in
2022-11-17
Survey response — day 28, dose 4, dependent
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Basic cold/virus. Mild symptoms, COVID/flu is not suspected.

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Health check-in — day 35, dose 4, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-11	Pfizer-BioNTech	No
2	2021-12-03	Pfizer-BioNTech	Flu
3	2022-05-24	Pfizer-BioNTech	No
4	2022-10-16	Pfizer-BioNTech	Flu

Free text

Release 10 — day 0, dose 1, dependent

2021-11-11

Systemic reaction (other): Said her arm felt a little weird before it started hurting at the injection site.

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-13

Systemic reaction (other): She has cried/complained about the pain periodically but it has not affected her activities. It is improving.

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-05

Systemic reaction (other): She won't take off her bandages so it's possible they're causing some irritation.

Release 11 — day 0, dose 3, dependent

2022-05-24

Systemic reaction (other): She was tired before the shot and had poor sleep. She was exposed to COVID but has tested negative with no symptoms.

Release 11 — days 1–6 daily, dose 3, dependent

2022-05-25

Systemic reaction (other): Elevated heart & breathing rates. She was exposed to COVID prior to immunization and has symptoms similar to siblings but tested negative.

2022-05-26

Systemic reaction (other): Sore throat, congestion/croupy cough. Tested positive for COVID today. Was exposed prior to vax.

2022-05-27

Systemic reaction (other): Croupy cough and hoarse voice. COVID positive.

2022-05-28

Systemic reaction (other): Sore throat, coughing. (COVID Positive)

Release 12 — day 21, dose 3, dependent

2022-06-16

Symptoms: She has had a light cough, similar to her COVID cough but producing some mucus. We think it's allergies.

Release 12 — day 28, dose 4, dependent

2022-11-17

Symptoms: Basic cold/virus. Mild symptoms, COVID/flu is not suspected.

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	Nasopharyngitis	·	·	✓
SD	Productive cough	·	·	✓
SD	Secretion discharge	·	·	✓
SRO	Cough	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Crying	·	·	✓
SRO	Dysphonia	·	·	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Limb discomfort	·	·	✓
SRO	Malaise	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Respiratory rate increased	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Unevaluable event	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release