5Q7-11827-16158
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 209 / MD
- Registered
- 2021-11-14
- Relationship
- Child or adolescent in my care
- Guardian
- WRR-16690-54520
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-13
Dose 1 — Pfizer-BioNTech
-
2021-11-14
Registered in v-safe
-
2021-11-15
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Urticaria — Feeling: Good · Fatigue or tiredness, DiarrheaFree text: Hives near bottom around diaperMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2021-12-05
Dose 2 — Pfizer-BioNTech
- 2021-12-07
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-19
- 2021-12-26
-
2022-01-04
Survey response — day 28, dose 2, dependentMedDRA: Fatigue, Rhinorrhoea — Feeling: FairFree text: Mild runny nose. Tired.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-09
- 2022-01-18
- 2022-03-08
- 2022-06-05
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Hives near bottom around diaper
Release 10 — day 28, dose 2, dependent
Symptoms: Mild runny nose. Tired.
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 | Fatigue | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release