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2YE-31544-03085

1 vaccination 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
986 / WA
Registered
2021-11-25
Relationship
Child or adolescent in my care
Guardian
U8J-16897-43304
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-25
    Registered in v-safe
  3. 2021-11-25
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Pain, Pyrexia — Feeling: Good
    Free text: He did really we'll the next day no fever or pain. Stay home to rest
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-11-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-28
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-05
    Survey response — day 14, dose 1, dependent
    MedDRA: Diarrhoea, Flatulence, Self-medication — Feeling: Good · Be unable to work or attend school
    Free text: Friday 12/3 he was sent home with diarrhea but not other symptoms. Happened twice at school and two more times at home- followed by gas pains. gave him simethicone- 12ml and 20 mins before he calmed down next day he was better. No other symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-14
    Health check-in — day 21, dose 1, dependent
    Feeling: Fair
    Adult check-in
  9. 2022-02-20
  10. 2022-05-24
  11. 2022-11-21

Vaccinations

DoseDateManufacturerCo-administered
12021-11-21Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-25

Systemic reaction (other): He did really we'll the next day no fever or pain. Stay home to rest

Release 10 — day 14, dose 1, dependent

2021-12-05

Symptoms: Friday 12/3 he was sent home with diarrhea but not other symptoms. Happened twice at school and two more times at home- followed by gas pains. gave him simethicone- 12ml and 20 mins before he calmed down next day he was better. No other symptoms. cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓
SDFlatulence · · ✓
SDSelf-medication · · ✓
SROPain · · ✓
SROPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release