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3FA-17207-96283

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
05-11
ZIP prefix
121 / NY
Registered
2022-02-06
Relationship
Child or adolescent in my care
Guardian
94V-57141-76335
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-21
    Dose 1 — Pfizer-BioNTech
  2. 2022-01-11
    Dose 2 — Pfizer-BioNTech
  3. 2022-02-06
    Registered in v-safe
  4. 2022-02-06
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  5. 2022-02-08
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  6. 2022-02-15
    Survey response — day 35, dose 2, dependent
    MedDRA: Headache — Feeling: Good
    Free text: Headache
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-02-22
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2022-04-12
    Survey response — 3 months, dose 2, dependent
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Cough, sniffles
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-12
    Survey response — 6 months, dose 2, dependent
    MedDRA: Abdominal pain upper, Constipation, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Stomach pain, fever, constipation
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-12
    Report sent to call center — 6 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-07-13
  12. 2022-07-13
    Call successful
    Not applicable - Accidental Reporting
  13. 2023-01-11

Vaccinations

DoseDateManufacturerCo-administered
12021-12-21Pfizer-BioNTech No
22022-01-11Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — day 35, dose 2, dependent

2022-02-15

Symptoms: Headache

Release 11 — 3 months, dose 2, dependent

2022-04-12

Symptoms: Cough, sniffles

Release 12 — 6 months, dose 2, dependent

2022-07-12

Symptoms: Stomach pain, fever, constipation

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 pain upper · · ✓
SDConstipation · · ✓
SDCough · · ✓
SDHeadache · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓

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