248-49973-67024
2 vaccinations
1 coded response
11 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 104 / NY
- Registered
- 2021-06-13
- Relationship
- Child or adolescent in my care
- Guardian
- MJM-31973-05994
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-08
Dose 1 — Pfizer-BioNTech
-
2021-06-13
Registered in v-safe
- 2021-06-13
- 2021-06-14
-
2021-06-22
Dose 2 — Pfizer-BioNTech
-
2021-06-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-06-26
- 2021-06-27
- 2021-06-28
- 2021-06-29
- 2021-07-06
-
2021-07-13
Survey response — day 21, dose 2, dependentMedDRA: Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Runny nose, sore throat, stuffy and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
- 2021-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-08 | Pfizer-BioNTech | |
| 2 | 2021-06-22 | Pfizer-BioNTech | No |
Free text
Release 9 — day 21, dose 2, dependent
Symptoms: Runny nose, sore throat, stuffy and headache
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 | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release