2UX-16057-36885
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 600 / IL
- Registered
- 2021-12-06
- Relationship
- Child or adolescent in my care
- Guardian
- 48S-29488-93771
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-06
Dose 1 — Pfizer-BioNTech
-
2021-12-04
Dose 2 — Pfizer-BioNTech
-
2021-12-06
Registered in v-safe
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-10
- 2021-12-11
- 2021-12-18
-
2021-12-25
Survey response — day 21, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-10
- 2022-01-15
- 2022-03-05
-
2022-06-04
Survey response — 6 months, dose 2, dependentMedDRA: COVID-19, Ear infection, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Various colds and Covid. Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Report sent to call center — 6 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-06
-
2022-06-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-22
Dose 3 — Pfizer-BioNTech
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-10-21
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
| 3 | 2022-07-22 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: Runny nose
Release 11 — 6 months, dose 2, dependent
Symptoms: Various colds and Covid. Ear infection
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 | COVID-19 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release