24K-32294-49560
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 060 / CT
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- GH4-34092-34119
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Registered in v-safe
-
2021-11-14
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site bruising, Vaccine positive rechallenge — Feeling: Good · Site: Pain, SwellingFree text: He has a bruise at the injection site just like I had after my first shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site bruising — Feeling: GoodFree text: Still has a bruise at the injection site.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Contusion — Feeling: GoodFree text: Bruise is healing but you can still see it.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
-
2021-12-02
Dose 2 — Pfizer-BioNTech
- 2021-12-16
-
2021-12-25
Survey response — day 21, dose 2, dependentMedDRA: Diarrhoea, Norovirus infection, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: He woke up yesterday throwing up and then had diarrhea. However, we do not believe it was the shot and we don't believe it was Covid. Most likely a norovirus. No fever and better today.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-06
- 2022-01-13
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2022-03-03
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Laboratory test abnormal, Lethargy, Malaise, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Two days ago came home sick from school. First positive rapid test came back last night. Has sore throat, cough, fever and is lethargic.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): He has a bruise at the injection site just like I had after my first shot.
Systemic reaction (other): Still has a bruise at the injection site.
Systemic reaction (other): Bruise is healing but you can still see it.
Release 10 — day 21, dose 2, dependent
Symptoms: He woke up yesterday throwing up and then had diarrhea. However, we do not believe it was the shot and we don't believe it was Covid. Most likely a norovirus. No fever and better today.
Release 11 — 3 months, dose 2, dependent
Symptoms: Two days ago came home sick from school. First positive rapid test came back last night. Has sore throat, cough, fever and is lethargic.
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Norovirus infection | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release