4X3-22823-79776
2 vaccinations
1 coded response
11 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 104 / NY
- Registered
- 2021-06-13
- Relationship
- Child or adolescent in my care
- Guardian
- MJM-31973-05994
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-08
Dose 1 — Pfizer-BioNTech
-
2021-06-13
Registered in v-safe
-
2021-06-13
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pain in extremity — Feeling: GoodFree text: First day arm was soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
-
2021-06-22
Dose 2 — Pfizer-BioNTech
-
2021-06-23
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-06-26
- 2021-06-27
- 2021-06-28
- 2021-06-29
- 2021-07-06
- 2021-07-13
- 2021-09-21
- 2021-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-08 | Pfizer-BioNTech | |
| 2 | 2021-06-22 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): First day arm was sore
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 |
|---|---|---|---|---|
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release