5XA-43736-70569
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 161 / PA
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- YVQ-31070-45577
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-06
Registered in v-safe
-
2021-11-06
Dose 1 — Pfizer-BioNTech
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
-
2021-11-11
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Throat irritation — Feeling: GoodFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-13
- 2021-11-20
-
2021-11-27
Dose 2 — Pfizer-BioNTech
- 2021-11-27
-
2021-11-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-11-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-11-30
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
-
2022-02-26
Survey response — 3 months, dose 2, dependentMedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Be unable to work or attend schoolFree text: Cold and sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
-
2022-07-19
Dose 3 — Pfizer-BioNTech
-
2022-07-20
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Dizziness — Feeling: Fair · Site: Pain · FeverFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2022-07-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · NoneAdult check-in
-
2022-07-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-07-23
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: SnifflesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-09-02
-
2022-10-18
Survey response — 3 months, dose 3, dependentMedDRA: Tonsillitis — Feeling: Good · Be unable to work or attend schoolFree text: TonsillitisMedDRA releases: 2024-11 · check-in free text available
- 2023-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
| 3 | 2022-07-19 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Scratchy throat
Release 11 — 3 months, dose 2, dependent
Symptoms: Cold and sore throat
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Dizziness
Systemic reaction (other): Sniffles
Release 12 — 3 months, dose 3, dependent
Symptoms: Tonsillitis
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 | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Tonsillitis | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release