4ML-20507-62735
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 028 / RI
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- 3K8-32723-83035
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Registered in v-safe
-
2021-11-11
Dose 1 — Pfizer-BioNTech
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-27
-
2021-12-02
Dose 2 — Pfizer-BioNTech
- 2021-12-02
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
-
2021-12-24
Survey response — day 21, dose 2, dependentMedDRA: Irritability, Nasal congestion, Nasopharyngitis, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Cold (covid negative - Ag test with PCR pending). Fever, nasal congestion, crankiness better after two days.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
-
2022-06-02
Survey response — 6 months, dose 2, dependentMedDRA: Abdominal pain upper, Gastrointestinal disorder, Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: A few colds after the masks came off in school. Last week he had a brief 48 hour GI illness that started with a fever. Had some mild stomach cramps and vomited a few times. He always tested negative for COVID each time. As did my husband and I.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Survey response — 12 months, dose 2, dependentMedDRA: Conjunctivitis, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: 11/20/22 - fever, conjunctivitis, cold symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: Cold (covid negative - Ag test with PCR pending). Fever, nasal congestion, crankiness better after two days.
Release 11 — 6 months, dose 2, dependent
Symptoms: A few colds after the masks came off in school. Last week he had a brief 48 hour GI illness that started with a fever. Had some mild stomach cramps and vomited a few times. He always tested negative for COVID each time. As did my husband and I.
Release 12 — 12 months, dose 2, dependent
Symptoms: 11/20/22 - fever, conjunctivitis, cold symptoms
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 | Abdominal pain upper | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release