5YM-16581-59020
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 972 / OR
- Registered
- 2021-12-10
- Relationship
- Child or adolescent in my care
- Guardian
- 4TU-32250-21804
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-12-05
Dose 2 — Pfizer-BioNTech
-
2021-12-10
Registered in v-safe
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-04
- 2022-01-09
- 2022-01-16
- 2022-03-06
-
2022-06-05
Survey response — 6 months, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 2 colds (runny nose and coughing), not covidMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Dose 3 — Pfizer-BioNTech
-
2022-06-12
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Unevaluable event — Feeling: Good · Site: RednessFree text: Father is on day 2 covid positiveMedDRA releases: 2024-11 · check-in free text available
- 2022-06-13
-
2022-06-20
Survey response — day 14, dose 3, dependentMedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose, sore throat, cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
- 2022-07-06
- 2022-07-13
- 2022-07-18
- 2022-09-07
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
| 3 | 2022-06-06 | Pfizer-BioNTech | No |
Free text
Release 11 — 6 months, dose 2, dependent
Symptoms: 2 colds (runny nose and coughing), not covid
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Father is on day 2 covid positive
Release 12 — day 14, dose 3, dependent
Symptoms: Runny nose, sore throat, 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 | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release