4W5-31000-70284
2 vaccinations
1 coded response
18 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 234 / VA
- Registered
- 2021-09-03
- Relationship
- Child or adolescent in my care
- Guardian
- YLS-11616-49125
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-02
Dose 1 — Pfizer-BioNTech
-
2021-09-03
Registered in v-safe
-
2021-09-03
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activitiesAdult check-in
-
2021-09-04
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-09-05
- 2021-09-07
- 2021-09-10
- 2021-09-17
- 2021-09-23
- 2021-09-24
-
2021-09-30
Dose 2 — Pfizer-BioNTech
-
2021-10-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-05
- 2021-10-06
- 2021-10-08
- 2021-10-14
-
2021-10-21
Survey response — day 21, dose 2, dependentMedDRA: Injection site pain — Feeling: GoodFree text: Spot where shots were given hurt just a bit every once in a while and before the vaccine it didn't.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-14
- 2021-12-30
- 2022-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-02 | Pfizer-BioNTech | No |
| 2 | 2021-09-30 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: Spot where shots were given hurt just a bit every once in a while and before the vaccine it didn't.
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 | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release