639-13509-89710
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 760 / TX
- Registered
- 2021-11-07
- Relationship
- Child or adolescent in my care
- Guardian
- 6KT-58739-33557
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-06
Dose 1 — Pfizer-BioNTech
-
2021-11-07
Registered in v-safe
- 2021-11-07
- 2021-11-08
-
2021-11-12
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Headache, Nasal congestion — Feeling: Good · Fatigue or tirednessFree text: He had a headache and nasal congestion 2 days ago.MedDRA releases: 2024-11 · check-in free text available
- 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: Good · Site: Itching · NoneAdult check-in
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2021-12-01
- 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: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
-
2022-11-29
Survey response — 12 months, dose 2, dependentMedDRA: Abdominal discomfort, Vomiting — Feeling: GoodFree text: Stomach discomfort and vomiting a week ago.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): He had a headache and nasal congestion 2 days ago.
Release 11 — 3 months, dose 2, dependent
Symptoms: Diarrhea
Release 12 — 12 months, dose 2, dependent
Symptoms: Stomach discomfort and vomiting a week ago.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release