3QR-31878-57850
4 vaccinations
4 coded responses
51 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 223 / VA
- Registered
- 2021-11-07
- Relationship
- Child or adolescent in my care
- Guardian
- Y66-39385-87819
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-07
Registered in v-safe
-
2021-11-07
Dose 1 — Pfizer-BioNTech
- 2021-11-07
-
2021-11-08
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Itching · NoneAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-21
- 2021-11-28
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
-
2021-12-15
Survey response — day 14, dose 2, dependentMedDRA: Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Had an unrelated fever for 24 hours 10 days after vaccination (child attends in person school and is required to test for any symptomatic illness. Tested negative for covid.)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
-
2022-06-01
Survey response — 6 months, dose 2, dependentMedDRA: Illness, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Has had a couple of minor illnessses. Sore throat and congestion, fever, tested negative for covid both timesMedDRA releases: 2024-11 · check-in free text available
-
2022-06-19
Dose 3 — Pfizer-BioNTech
-
2022-06-20
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-06-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-07-03
-
2022-07-10
Survey response — day 21, dose 3, dependentMedDRA: Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Currently has fever, runny nose, sore throat. Symptoms started 2 days ago. Negative on antigen covid test yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-17
- 2022-07-24
- 2022-07-31
- 2022-09-18
-
2022-10-22
Dose 4 — Pfizer-BioNTech
- 2022-10-22
-
2022-10-23
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
-
2022-10-24
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-10-25
-
2022-10-26
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-10-27
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2022-11-26
-
2022-12-03
Survey response — day 42, dose 4, dependentMedDRA: Cough, Myalgia, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had fever and muscle aches with congestion last week. Symptoms started 5 days ago and have now resolved with residual cough.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-07 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-06-19 | Pfizer-BioNTech | No |
| 4 | 2022-10-22 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 2, dependent
Symptoms: Had an unrelated fever for 24 hours 10 days after vaccination (child attends in person school and is required to test for any symptomatic illness. Tested negative for covid.)
Release 11 — 6 months, dose 2, dependent
Symptoms: Has had a couple of minor illnessses. Sore throat and congestion, fever, tested negative for covid both times
Release 12 — day 21, dose 3, dependent
Symptoms: Currently has fever, runny nose, sore throat. Symptoms started 2 days ago. Negative on antigen covid test yesterday.
Release 12 — day 42, dose 4, dependent
Symptoms: Had fever and muscle aches with congestion last week. Symptoms started 5 days ago and have now resolved with residual 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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release