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
-
2021-11-16
Registered in v-safe
-
2021-11-16
Dose 1 — Pfizer-BioNTech
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Headache, Muscle or body aches, Abdominal painAdult check-in
-
2021-11-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Itching · Headache, Abdominal painAdult check-in
- 2021-11-20
-
2021-11-21
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-11-25
- 2021-11-30
- 2021-12-07
-
2021-12-09
Dose 2 — Pfizer-BioNTech
-
2021-12-14
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Redness · Fever · Headache · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-15
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Irritability — Feeling: Good · Fatigue or tirednessFree text: Irritability in general. He won't specify what is wrongMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
-
2021-12-23
Survey response — day 14, dose 2, dependentMedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Possibly the flu or a cold, something contagious but not Covid.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-07
- 2022-01-13
- 2022-01-22
- 2022-03-10
- 2022-06-09
-
2022-06-24
Dose 3 — Pfizer-BioNTech
- 2022-09-23
- 2022-12-23
- 2023-06-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-16 | Pfizer-BioNTech | No |
| 2 | 2021-12-09 | Pfizer-BioNTech | No |
| 3 | 2022-06-24 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Irritability in general. He won't specify what is wrong
Release 10 — day 14, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Unevaluable event | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release