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39B-28579-85243

2 vaccinations 2 coded responses 10 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
494 / MI
Registered
2021-12-06
Relationship
Child or adolescent in my care
Guardian
453-94496-24008
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-04
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-06
    Registered in v-safe
  4. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-12-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-12-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-12-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-18
    Survey response — day 14, dose 2, dependent
    MedDRA: Abdominal discomfort, Diarrhoea, Headache, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headache, low grade fever, diarrhea, upset stomach
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-25
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-01
    Survey response — day 28, dose 2, dependent
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, congestion
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-08
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-12Pfizer-BioNTech No
22021-12-04Pfizer-BioNTech No

Free text

Release 10 — day 14, dose 2, dependent

2021-12-18

Symptoms: Headache, low grade fever, diarrhea, upset stomach

Release 10 — day 28, dose 2, dependent

2022-01-01

Symptoms: Runny nose, congestion

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
SDAbdominal discomfort · · ✓
SDDiarrhoea · · ✓
SDHeadache · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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