2Q3-17319-87892
4 vaccinations
12 coded responses
49 check-ins
12 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 951 / CA
- Registered
- 2021-11-04
- Relationship
- Child or adolescent in my care
- Guardian
- JUX-17598-46076
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-11-04
Registered in v-safe
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2021-11-04
Dose 1 — Pfizer-BioNTech
- 2021-11-04
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2021-11-05
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
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2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Joint painsAdult check-in
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2021-11-09
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Chest pain, Pain of skin, Sneezing — Feeling: Poor · Be unable to work or attend schoolFree text: He has been sneezing his head off for ~20h and reports that his chest sometimes hurts, "under my skin and right under my bone" (sternum) - hasn't complained, only mentioned when askedMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Sneezing — Feeling: Fair · Vomiting · Be unable to work or attend schoolFree text: Severe cough (after sneezing most of yesterday)MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — day 7, dose 1, dependentMedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
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2021-11-23
Dose 2 — Pfizer-BioNTech
- 2021-11-23
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2021-11-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Abdominal painAdult check-in
- 2021-11-25
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2021-11-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
- 2021-12-14
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2021-12-21
Survey response — day 28, dose 2, dependentMedDRA: Pyrexia, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 102+ Fever for ~48h (negative Binax and pcr), sporadic sneezing started ~48h after last registering a fever.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
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2022-01-04
Survey response — day 42, dose 2, dependentMedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-02-22
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2022-05-24
Survey response — 6 months, dose 2, dependentMedDRA: Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 100.8 fever, runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-07-02
Dose 3 — Pfizer-BioNTech
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2022-07-02
Survey response — day 0, dose 3, dependentMedDRA: Thirst — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: ThirstyMedDRA releases: 2024-11 · check-in free text available
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2022-07-03
Survey response — days 1–6 daily, dose 3, dependentMedDRA: No adverse event — Feeling: GoodFree text: "I feel really great!"MedDRA releases: 2024-11 · check-in free text available
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2022-07-04
Survey response — days 1–6 daily, dose 3, dependentMedDRA: No adverse event — Feeling: GoodFree text: "I didn't remember or even feel that I got my shot!"MedDRA releases: 2024-11 · check-in free text available
- 2022-07-05
- 2022-07-06
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2022-07-07
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
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2022-07-08
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Irritability — Feeling: Fair · Fatigue or tirednessFree text: Extreme crankinessMedDRA releases: 2024-11 · check-in free text available
- 2022-07-09
- 2022-07-16
- 2022-08-15
- 2022-10-01
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2022-10-18
Dose 4 — Pfizer-BioNTech
- 2022-10-18
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2022-10-19
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
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2022-11-01
Survey response — day 14, dose 4, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Cough, some congestion, no fever, multiple negative rapid testsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
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2022-11-15
Survey response — day 28, dose 4, dependentMedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Snotty with cough; rapid test negative, no feverMedDRA releases: 2024-11 · check-in free text available
- 2022-11-22
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-04 | Pfizer-BioNTech | No |
| 2 | 2021-11-23 | Pfizer-BioNTech | No |
| 3 | 2022-07-02 | Pfizer-BioNTech | No |
| 4 | 2022-10-18 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): He has been sneezing his head off for ~20h and reports that his chest sometimes hurts, "under my skin and right under my bone" (sternum) - hasn't complained, only mentioned when asked
Systemic reaction (other): Severe cough (after sneezing most of yesterday)
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Cough
Release 10 — day 28, dose 2, dependent
Symptoms: 102+ Fever for ~48h (negative Binax and pcr), sporadic sneezing started ~48h after last registering a fever.
Release 10 — day 42, dose 2, dependent
Symptoms: Headache
Release 11 — 6 months, dose 2, dependent
Symptoms: 100.8 fever, runny nose
Release 12 — day 0, dose 3, dependent
Systemic reaction (other): Thirsty
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): "I feel really great!"
Systemic reaction (other): "I didn't remember or even feel that I got my shot!"
Systemic reaction (other): Extreme crankiness
Release 12 — day 14, dose 4, dependent
Symptoms: Cough, some congestion, no fever, multiple negative rapid tests
Release 12 — day 28, dose 4, dependent
Symptoms: Snotty with cough; rapid test negative, no fever
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 | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Thirst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release