3GU-46010-39693

2 vaccinations 1 coded response 1 check-in 1 free-text entry 0 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 902 / CA
Registered: 2022-06-11

Relationship: Child or adolescent in my care
Guardian: 3DG-21826-97629
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-10
Dose 1 — Pfizer-BioNTech
2021-12-01
Dose 2 — Pfizer-BioNTech
2022-06-11
Registered in v-safe
2022-12-04
Survey response — 12 months, dose 2, dependent
MedDRA: Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach pains possibly associated with acid reflux

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-10	Pfizer-BioNTech	No
2	2021-12-01	Pfizer-BioNTech	No

Free text

Release 12 — 12 months, dose 2, dependent

2022-12-04

Symptoms: Stomach pains possibly associated with acid reflux

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 pain upper	·	·	✓

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