ZRG-12408-91837
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 503 / IA
- Registered
- 2021-11-08
- Relationship
- Child or adolescent in my care
- Guardian
- V3F-18757-70876
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-08
Registered in v-safe
-
2021-11-08
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Chest pain, Pain in extremity — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: The first 2 days after vacation she had a sore arm, and had very brief chest pain (20 minutes) on day 2. She has the above symptoms, but others in the house have had a fever (including a 3 year old who has not had a vaccine recently); likely URIMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Illness, SARS-CoV-2 test negative, Viral infection — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend schoolFree text: Most in the house have had an apparent febrile viral illness, 2 in the house (not (b)(6)) have negative COVID PCRsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
-
2021-11-26
Dose 2 — Pfizer-BioNTech
-
2021-11-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-28
- 2021-11-30
- 2021-12-01
- 2021-12-05
- 2021-12-17
- 2021-12-24
- 2021-12-31
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2022-02-25
Survey response — 3 months, dose 2, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: COVID, uncomplicated and brief courseMedDRA releases: 2024-11 · check-in free text available
-
2022-05-28
Survey response — 6 months, dose 2, dependentMedDRA: Rash — Feeling: GoodFree text: Facial rash, possibly related to sun exposure. We do not believe it is related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-11-26 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): The first 2 days after vacation she had a sore arm, and had very brief chest pain (20 minutes) on day 2. She has the above symptoms, but others in the house have had a fever (including a 3 year old who has not had a vaccine recently); likely URI
Systemic reaction (other): Most in the house have had an apparent febrile viral illness, 2 in the house (not (b)(6)) have negative COVID PCRs
redacted (b)(6)
Release 11 — 3 months, dose 2, dependent
Symptoms: COVID, uncomplicated and brief course
Release 11 — 6 months, dose 2, dependent
Symptoms: Facial rash, possibly related to sun exposure. We do not believe it is related to 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 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Illness | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release