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
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-12-04
Dose 2 — Pfizer-BioNTech
-
2021-12-06
Registered in v-safe
-
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
-
2021-12-18
Survey response — day 14, dose 2, dependentMedDRA: Abdominal discomfort, Diarrhoea, Headache, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache, low grade fever, diarrhea, upset stomachMedDRA releases: 2024-11 · check-in free text available
- 2021-12-25
-
2022-01-01
Survey response — day 28, dose 2, dependentMedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 2, dependent
Symptoms: Headache, low grade fever, diarrhea, upset stomach
Release 10 — day 28, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release