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4F4-27989-83752

3 vaccinations 3 coded responses 8 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
05-11
ZIP prefix
782 / TX
Registered
2022-04-28
Relationship
Child or adolescent in my care
Guardian
5BQ-12963-68185
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-01
    Dose 2 — Pfizer-BioNTech
  3. 2022-04-28
    Registered in v-safe
  4. 2022-06-01
  5. 2022-10-11
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  6. 2022-10-15
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Diarrhea
    Adult check-in
  7. 2022-10-19
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-10-26
    Survey response — day 14, dose 3, dependent
    MedDRA: Abdominal pain upper, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stomachache, headache, fatigue. Lasted about 36hrs.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-11-01
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-11-08
    Survey response — day 28, dose 3, dependent
    MedDRA: Influenza, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Diagnosed with Flu. · Healthcare visit (other): Pediatrician
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-11-08
    Report sent to call center — day 28, dose 3, dependent
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-11-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  13. 2022-11-15
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-11-23
    Survey response — day 42, dose 3, dependent
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair
    Free text: Slight cough and congestion starting as of yesterday evening. Worsening as of today. We've not gone to get tested yet.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-10Pfizer-BioNTech No
22021-12-01Pfizer-BioNTech No
32022-10-11Pfizer-BioNTech Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — day 14, dose 3, dependent

2022-10-26

Symptoms: Stomachache, headache, fatigue. Lasted about 36hrs.

Release 12 — day 28, dose 3, dependent

2022-11-08

Symptoms: Diagnosed with Flu.
Healthcare visit (other): Pediatrician

Release 12 — day 42, dose 3, dependent

2022-11-23

Symptoms: Slight cough and congestion starting as of yesterday evening. Worsening as of today. We've not gone to get tested yet.

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
HCVOOffice visit · · ✓
SDAbdominal pain upper · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInfluenza · · ✓
SDRespiratory tract congestion · · ✓

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