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
-
2022-07-01
Dose 1 — Pfizer-BioNTech
-
2022-07-03
Registered in v-safe
-
2022-07-03
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Unevaluable event — Feeling: Poor · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: I'm not sure this is related to the vaccine...could be another illness...MedDRA releases: 2024-11 · check-in free text available
-
2022-07-04
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-05
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Lip swelling — Feeling: FairFree text: Swelling of his lip (started on Saturday, I think)MedDRA releases: 2024-11 · check-in free text available
-
2022-07-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-07-07
-
2022-07-10
Survey response — day 7, dose 1, dependentMedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-29
- 2022-08-05
- 2022-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-01 | Pfizer-BioNTech | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): I'm not sure this is related to the vaccine...could be another illness...
Systemic reaction (other): Swelling of his lip (started on Saturday, I think)
Release 12 — day 7, dose 1, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Cough | · | · | ✓ |
| SRO | Lip swelling | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release