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3YF-10907-80598

1 vaccination 1 coded response 9 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
115 / NY
Registered
2021-12-21
Relationship
Child or adolescent in my care
Guardian
4TX-25381-79243
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-21
    Registered in v-safe
  2. 2021-12-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-12-23
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-12-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-12-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-12-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-12-30
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-01-06
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-03-24
  11. 2022-12-26
    Survey response — 12 months, dose 1, dependent
    MedDRA: Tonsillar hypertrophy — Feeling: Good
    Free text: Tonsillitis hypettrophy The size of tonsils is very big so (b)(6) has been referred to ENT.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-12-23Pfizer-BioNTech No

Free text

Release 12 — 12 months, dose 1, dependent

2022-12-26

Symptoms: Tonsillitis hypettrophy The size of tonsils is very big so (b)(6) has been referred to ENT.
redacted (b)(6)

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
SDTonsillar hypertrophy · · ✓

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