62F-25284-40021
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 303 / GA
- Registered
- 2021-11-23
- Relationship
- Child or adolescent in my care
- Guardian
- YU7-55821-61395
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-23
Registered in v-safe
- 2021-11-23
- 2021-11-25
- 2021-12-02
-
2021-12-03
Dose 2 — Pfizer-BioNTech
- 2021-12-16
- 2021-12-17
-
2022-01-02
Survey response — day 28, dose 2, dependentMedDRA: Injection site pain, Nasopharyngitis — Feeling: FairFree text: He has a cold. The whole family has been tested for COVID-19 on Thursday and again yesterday (Saturday). We are all negative, but with his cold he has complained that the site of his vaccine has felt sore.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Survey response — day 35, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: He has had a head cold since 12/30/21. He has a runny nose and cough. He has had four negative COVID-19 tests since 12/30/21.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Survey response — day 42, dose 2, dependentMedDRA: Illness, Nasopharyngitis, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: He had a head cold. It was for certain NOT COVID. He was tested 5 times during the time that he showed symptoms of illness (runny nose & productive cough). All tests were negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-06
- 2022-06-03
-
2022-12-05
Survey response — 12 months, dose 2, dependentMedDRA: Ear infection — Feeling: Fair · Be unable to work or attend schoolFree text: Right now he has an ear infection, not related to COVID.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
Free text
Release 10 — day 28, dose 2, dependent
Symptoms: He has a cold. The whole family has been tested for COVID-19 on Thursday and again yesterday (Saturday). We are all negative, but with his cold he has complained that the site of his vaccine has felt sore.
Release 10 — day 35, dose 2, dependent
Symptoms: He has had a head cold since 12/30/21. He has a runny nose and cough. He has had four negative COVID-19 tests since 12/30/21.
Release 10 — day 42, dose 2, dependent
Symptoms: He had a head cold. It was for certain NOT COVID. He was tested 5 times during the time that he showed symptoms of illness (runny nose & productive cough). All tests were negative.
Release 12 — 12 months, dose 2, dependent
Symptoms: Right now he has an ear infection, not related to COVID.
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 | Ear infection | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release