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4NH-17479-06570

3 vaccinations 1 coded response 22 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
210 / MD
Registered
2021-07-23
Relationship
Child or adolescent in my care
Guardian
4W8-16374-54223
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-30
    Dose 1 — Pfizer-BioNTech
  2. 2021-07-23
    Registered in v-safe
  3. 2021-07-23
    Dose 2 — Pfizer-BioNTech
  4. 2021-07-23
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-07-24
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  6. 2021-07-25
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-07-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-07-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-07-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-07-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-07-30
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-08-06
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2021-08-13
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2021-08-22
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2021-08-27
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-09-03
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-10-22
  18. 2022-01-22
  19. 2022-04-15
    Dose 3 — Pfizer-BioNTech
  20. 2022-04-30
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  21. 2022-05-06
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  22. 2022-05-13
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  23. 2022-05-20
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  24. 2022-05-28
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  25. 2022-07-17
  26. 2022-10-14
    Survey response — 6 months, dose 3, dependent
    MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school
    Free text: Tested positive for Covid19
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-06-30Pfizer-BioNTech No
22021-07-23Pfizer-BioNTech No
32022-04-15Pfizer-BioNTech No

Free text

Release 12 — 6 months, dose 3, dependent

2022-10-14

Symptoms: Tested positive for Covid19

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
SDSARS-CoV-2 test positive · · ✓

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

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