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36L-29033-85930

1 vaccination 3 coded responses 10 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
606 / IL
Registered
2022-07-03
Relationship
Child or adolescent in my care
Guardian
7PZ-30078-70526
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-01
    Dose 1 — Pfizer-BioNTech
  2. 2022-07-03
    Registered in v-safe
  3. 2022-07-03
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Unevaluable event — Feeling: Poor · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: I'm not sure this is related to the vaccine...could be another illness...
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Poor · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  5. 2022-07-05
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Lip swelling — Feeling: Fair
    Free text: Swelling of his lip (started on Saturday, I think)
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-07-06
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2022-07-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-10
    Survey response — day 7, dose 1, dependent
    MedDRA: Cough — Feeling: Fair
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-24
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-29
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-08-05
    Health check-in — day 35, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2022-08-12
    Health check-in — day 42, dose 1, dependent
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-01Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 1, dependent

2022-07-03

Systemic reaction (other): I'm not sure this is related to the vaccine...could be another illness...

2022-07-05

Systemic reaction (other): Swelling of his lip (started on Saturday, I think)

Release 12 — day 7, dose 1, dependent

2022-07-10

Systemic reaction (other): Cough

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
SROCough · · ✓
SROLip swelling · · ✓
SROUnevaluable event · · ✓

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