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
-
2021-11-21
Dose 1 — Pfizer-BioNTech
-
2021-11-25
Registered in v-safe
-
2021-11-25
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pain, Pyrexia — Feeling: GoodFree text: He did really we'll the next day no fever or pain. Stay home to restMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-27
- 2021-11-28
-
2021-12-05
Survey response — day 14, dose 1, dependentMedDRA: Diarrhoea, Flatulence, Self-medication — Feeling: Good · Be unable to work or attend schoolFree 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
- 2021-12-14
- 2022-02-20
- 2022-05-24
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-21 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Diarrhoea | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release