3WM-31556-52579
4 vaccinations
3 coded responses
29 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 770 / TX
- Registered
- 2021-11-13
- Relationship
- Adult relative or friend
- Guardian
- GFE-32317-53902
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Pfizer-BioNTech
-
2021-05-07
Dose 2 — Pfizer-BioNTech
-
2021-11-13
Registered in v-safe
-
2021-11-13
Dose 3 — Pfizer-BioNTech
-
2021-11-13
Health check-in — day 0, dose 3, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-16
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
- 2022-05-14
- 2022-11-13
-
2022-12-28
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-28
-
2022-12-29
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: took flu shot as well in the same arm on the same dayMedDRA releases: 2024-11 · check-in free text available
- 2022-12-30
- 2022-12-31
- 2023-01-01
- 2023-01-02
- 2023-01-04
- 2023-01-11
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-02-08
-
2023-03-29
Survey response — 3 months, dose 4, dependentMedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-06-28
Survey response — 6 months, dose 4, dependentMedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Pfizer-BioNTech | No |
| 2 | 2021-05-07 | Pfizer-BioNTech | No |
| 3 | 2021-11-13 | Pfizer-BioNTech | No |
| 4 | 2022-12-28 | Pfizer-BioNTech | Flu |
Free text
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): took flu shot as well in the same arm on the same day
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release