23T-15740-86584
3 vaccinations
5 coded responses
33 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 857 / AZ
- Registered
- 2021-11-08
- Relationship
- Child or adolescent in my care
- Guardian
- 9LW-18801-44513
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-07
Dose 1 — Pfizer-BioNTech
-
2021-11-08
Registered in v-safe
-
2021-11-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Office visit — Feeling: Fair · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Pediatrician officeMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Report sent to call center — days 1–6 daily, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-10
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
-
2021-11-21
Survey response — day 14, dose 1, dependentMedDRA: Headache, Respiratory tract congestion — Feeling: FairFree text: Congestion and headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-11-28
Dose 2 — Pfizer-BioNTech
-
2021-11-28
Survey response — day 0, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-12
- 2021-12-19
-
2021-12-26
Survey response — day 28, dose 2, dependentMedDRA: Diarrhoea, Gastroenteritis viral, Vomiting — Feeling: Fair · Be unable to work or attend schoolFree text: Stomach virus with vomiting & diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-09
- 2022-02-27
-
2022-05-31
Survey response — 6 months, dose 2, dependentMedDRA: Cough — Feeling: Fair · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-17
Dose 3 — Pfizer-BioNTech
-
2022-06-18
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-06-19
- 2022-06-20
- 2022-06-23
- 2022-06-24
- 2022-07-03
- 2022-07-08
- 2022-07-16
- 2022-07-22
- 2022-09-16
- 2023-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-07 | Pfizer-BioNTech | No |
| 2 | 2021-11-28 | Pfizer-BioNTech | No |
| 3 | 2022-06-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Healthcare visit (other): Pediatrician office
Release 10 — day 14, dose 1, dependent
Symptoms: Congestion and headache
Release 10 — day 0, dose 2, dependent
Systemic reaction (other): Runny nose
Release 10 — day 28, dose 2, dependent
Symptoms: Stomach virus with vomiting & diarrhea
Release 11 — 6 months, dose 2, dependent
Symptoms: Cough
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release