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4SP-25959-03335

3 vaccinations 2 coded responses 21 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
851 / AZ
Registered
2021-11-16
Relationship
Child or adolescent in my care
Guardian
Z48-13177-73820
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-16
    Registered in v-safe
  2. 2021-11-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-16
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-11-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Headache, Muscle or body aches, Abdominal pain
    Adult check-in
  5. 2021-11-18
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain, Itching · Headache, Abdominal pain
    Adult check-in
  6. 2021-11-20
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-21
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-11-25
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-30
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-07
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-09
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Redness · Fever · Headache · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-12-15
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Irritability — Feeling: Good · Fatigue or tiredness
    Free text: Irritability in general. He won't specify what is wrong
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-16
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-23
    Survey response — day 14, dose 2, dependent
    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Possibly the flu or a cold, something contagious but not Covid.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-30
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-07
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-13
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-22
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-03-10
  21. 2022-06-09
  22. 2022-06-24
    Dose 3 — Pfizer-BioNTech
  23. 2022-09-23
  24. 2022-12-23
  25. 2023-06-24

Vaccinations

DoseDateManufacturerCo-administered
12021-11-16Pfizer-BioNTech No
22021-12-09Pfizer-BioNTech No
32022-06-24Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-15

Systemic reaction (other): Irritability in general. He won't specify what is wrong

Release 10 — day 14, dose 2, dependent

2021-12-23

Symptoms: Possibly the flu or a cold, something contagious but not Covid.

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
SDUnevaluable event · · ✓
SROIrritability · · ✓

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