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3ZR-26925-63437

2 vaccinations 1 coded response 13 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
531 / WI
Registered
2022-09-19
Relationship
Child or adolescent in my care
Guardian
9MW-25477-78424
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-08-25
    Dose 1 — Pfizer-BioNTech
  2. 2022-09-19
    Registered in v-safe
  3. 2022-09-19
    Health check-in — day 21, dose 1, under 3
    Feeling: Fair
    Under 3 check-in
  4. 2022-09-24
    Health check-in — day 28, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  5. 2022-09-26
    Dose 2 — Pfizer-BioNTech
    Co-administered: Flu
  6. 2022-09-30
    Survey response — days 1–6 daily, dose 2, under 3
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Swelling/hardness · Fever · Irritability/crying
    Free text: May be due to teething
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-10-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-10-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-10-03
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-10-10
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-10-17
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-10-24
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  13. 2022-10-31
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  14. 2022-11-07
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  15. 2022-12-26
    Health check-in — 3 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  16. 2023-03-29
    Health check-in — 6 months, dose 2, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-08-25Pfizer-BioNTech No
22022-09-26Pfizer-BioNTech Flu

Free text

Release 12 (Under 3) — days 1–6 daily, dose 2, under 3

2022-09-30

Systemic reaction (other): May be due to teething

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
SROUnevaluable event · · ✓

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

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