58L-54130-65601
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 983 / WA
- Registered
- 2021-11-16
- Relationship
- Child or adolescent in my care
- Guardian
- 9QD-54200-93082
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-02
Dose 1 — Pfizer-BioNTech
-
2021-11-16
Registered in v-safe
- 2021-11-19
-
2021-11-23
Dose 2 — Pfizer-BioNTech
-
2021-11-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
-
2021-12-14
Survey response — day 21, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-26
Survey response — day 28, dose 2, dependentMedDRA: Lacrimation increased, Rhinorrhoea — Feeling: FairFree text: Runny nose, watery eyesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
-
2022-01-04
Survey response — day 42, dose 2, dependentMedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Cold symptoms & coughMedDRA releases: 2024-11 · check-in free text available
- 2022-02-22
- 2022-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-02 | Pfizer-BioNTech | No |
| 2 | 2021-11-23 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 2, dependent
Symptoms: Sore throat
Release 10 — day 28, dose 2, dependent
Symptoms: Runny nose, watery eyes
Release 10 — day 42, dose 2, dependent
Symptoms: Cold symptoms & cough
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 | Cough | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release