26E-12888-99068
3 vaccinations
1 coded response
30 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 481 / MI
- Registered
- 2021-12-17
- Relationship
- Child or adolescent in my care
- Guardian
- 5WT-13761-83622
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-17
Registered in v-safe
-
2021-12-17
Dose 1 — Pfizer-BioNTech
-
2021-12-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-12-19
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-25
- 2021-12-31
- 2022-01-07
-
2022-01-10
Dose 2 — Pfizer-BioNTech
-
2022-01-11
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-01-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-01-13
- 2022-01-14
- 2022-01-16
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-02-07
- 2022-02-14
- 2022-02-21
- 2022-04-11
- 2022-07-13
-
2022-10-18
Dose 3 — Pfizer-BioNTech
-
2022-10-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-10-22
- 2022-10-23
- 2022-10-25
- 2022-11-01
-
2022-11-09
Survey response — day 21, dose 3, dependentMedDRA: Decreased appetite, Headache, Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Has has a Fever on and off , nasal congestion, headache, runny nose, sore throat on and off, loss of appetite since nov 2ndMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-24
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-17 | Pfizer-BioNTech | No |
| 2 | 2022-01-10 | Pfizer-BioNTech | No |
| 3 | 2022-10-18 | Pfizer-BioNTech | No |
Free text
Release 12 — day 21, dose 3, dependent
Symptoms: Has has a Fever on and off , nasal congestion, headache, runny nose, sore throat on and off, loss of appetite since nov 2nd
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 | Decreased appetite | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release