3UT-29458-53362

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

Sex: Male
Age at first dose: 05-11
ZIP prefix: 802 / CO
Registered: 2021-11-06

Relationship: Child or adolescent in my care
Guardian: 3B3-31964-33406
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-11-06
Registered in v-safe
2021-11-06
Dose 1 — Pfizer-BioNTech
2021-11-20
Survey response — day 14, dose 1, dependent
MedDRA: Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: Stuffy nose, sore throat, fever

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-06	Pfizer-BioNTech	No

Free text

Release 10 — day 14, dose 1, dependent

2021-11-20

Symptoms: Stuffy nose, sore throat, 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

Field	Preferred term	2021-09	2023-04	2024-11
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓

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