47L-34023-64118
3 vaccinations
1 coded response
5 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 606 / IL
- Registered
- 2021-11-23
- Relationship
- Child or adolescent in my care
- Guardian
- 666-11669-73494
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-04-22
Dose 2 — Pfizer-BioNTech
-
2021-11-21
Dose 3 — Pfizer-BioNTech
-
2021-11-23
Registered in v-safe
-
2021-11-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-24
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: He has a seizures disordes (Dravet Syndrome) and he had 4 seizures last night sometimes it could have it but it could be caused for certain triggers like fever, pain, vaccines etc.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-28
Health check-in — day 7, dose 3, dependentFeeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | No |
| 2 | 2021-04-22 | Pfizer-BioNTech | No |
| 3 | 2021-11-21 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): He has a seizures disordes (Dravet Syndrome) and he had 4 seizures last night sometimes it could have it but it could be caused for certain triggers like fever, pain, vaccines etc.
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 |
|---|---|---|---|---|
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release