4GK-31378-43105
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 210 / MD
- Registered
- 2021-12-05
- Relationship
- Child or adolescent in my care
- Guardian
- 5Q8-20534-43286
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-12-04
Dose 2 — Pfizer-BioNTech
-
2021-12-05
Registered in v-safe
-
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · HeadacheAdult check-in
-
2021-12-07
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-08
-
2021-12-09
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · None · Be unable to work or attend schoolAdult check-in
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-03-05
-
2022-06-04
Survey response — 6 months, dose 2, dependentMedDRA: Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Fever of 101.1negative COVID test.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Sore throat
Release 11 — 6 months, dose 2, dependent
Symptoms: Fever of 101.1negative COVID test.
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 | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release