4NQ-16305-51991
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 970 / OR
- Registered
- 2022-07-07
- Relationship
- Child or adolescent in my care
- Guardian
- M5B-15032-49392
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Dose 1 — Pfizer-BioNTech
-
2022-07-07
Registered in v-safe
- 2022-07-07
-
2022-07-11
Survey response — day 14, dose 1, dependentMedDRA: Fatigue, Feeling abnormal, Office visit, Unresponsive to stimuli — Feeling: GoodFree text: Extra tired and had a couple of staring off into space without response episodes that lasted 15-30sec (a few days after first dose). Saw pediatrician who referred to neurodiagnostics; EEG was normal. Seems fine now.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-18
Dose 2 — Pfizer-BioNTech
- 2022-07-18
- 2022-07-19
- 2022-07-20
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-08-01
- 2022-08-08
- 2022-08-15
- 2022-08-23
- 2022-08-29
-
2022-09-12
Dose 3 — Pfizer-BioNTech
- 2022-09-12
- 2022-09-13
- 2022-09-14
- 2022-09-16
- 2022-09-17
-
2022-09-18
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fever · Fatigue or tirednessFree text: Runny nose, cough, and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-19
Survey response — day 7, dose 3, dependentMedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Congestion and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-10-03
-
2022-10-12
Survey response — day 28, dose 3, dependentMedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold-like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
-
2022-10-24
Survey response — day 42, dose 3, dependentMedDRA: Cough, Ear pain, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Lingering cough from cold on October 5th and now has earache.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Survey response — 3 months, dose 3, dependentMedDRA: Chills, Cough, Influenza like illness, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold/flu-like symptoms. Runny nose, fever, cough, chills, and vomiting.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Pfizer-BioNTech | No |
| 2 | 2022-07-18 | Pfizer-BioNTech | No |
| 3 | 2022-09-12 | Pfizer-BioNTech | No |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Extra tired and had a couple of staring off into space without response episodes that lasted 15-30sec (a few days after first dose). Saw pediatrician who referred to neurodiagnostics; EEG was normal. Seems fine now.
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Runny nose, cough, and congestion
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): Congestion and runny nose
Release 12 — day 28, dose 3, dependent
Symptoms: Cold-like symptoms
Release 12 — day 42, dose 3, dependent
Symptoms: Lingering cough from cold on October 5th and now has earache.
Release 12 — 3 months, dose 3, dependent
Symptoms: Cold/flu-like symptoms. Runny nose, fever, cough, chills, and vomiting.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unresponsive to stimuli | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release