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3QV-35007-30237

2 vaccinations 3 coded responses 13 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
900 / CA
Registered
2021-12-14
Relationship
Child or adolescent in my care
Guardian
LWS-56957-53981
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-11-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-13
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-14
    Registered in v-safe
  4. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  5. 2021-12-16
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Fatigue — Feeling: Good
    Free text: We missed (b)(6) health check-in yesterday, yesterday he felt tired. Today he feels fine.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-18
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-19
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-12-21
    Survey response — day 7, dose 2, dependent
    MedDRA: Body temperature increased — Feeling: Good
    Free text: He had a slight fever yesterday, 99.4, we didn't get a chance to report on v-safe. Today he's fine.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-27
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  10. 2022-01-03
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2022-01-10
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-17
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-01-26
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-03-14
  15. 2022-06-13
  16. 2022-12-13
    Survey response — 12 months, dose 2, dependent
    MedDRA: Cough, Pyrexia, Rhinorrhoea, Vomiting — Feeling: Good · Be unable to work or attend school
    Free text: Vomiting, runny nose, coughing, fever
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-22Pfizer-BioNTech No
22021-12-13Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-16

Systemic reaction (other): We missed (b)(6) health check-in yesterday, yesterday he felt tired. Today he feels fine.
redacted (b)(6)

Release 10 — day 7, dose 2, dependent

2021-12-21

Systemic reaction (other): He had a slight fever yesterday, 99.4, we didn't get a chance to report on v-safe. Today he's fine.

Release 12 — 12 months, dose 2, dependent

2022-12-13

Symptoms: Vomiting, runny nose, coughing, fever

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
SDCough · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDVomiting · · ✓
SROBody temperature increased · · ✓
SROFatigue · · ✓

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