67N-29343-69547
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 949 / CA
- Registered
- 2022-01-20
- Relationship
- Child or adolescent in my care
- Guardian
- HT6-27693-07519
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-01-19
Dose 1 — Pfizer-BioNTech
-
2022-01-20
Registered in v-safe
-
2022-01-20
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · HeadacheAdult check-in
- 2022-01-21
- 2022-01-23
- 2022-01-24
-
2022-01-25
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Mood swings — Feeling: Good · HeadacheFree text: Mood swingsMedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
- 2022-02-02
-
2022-02-09
Dose 2 — Pfizer-BioNTech
- 2022-02-09
- 2022-02-12
- 2022-02-14
- 2022-02-16
- 2022-03-02
- 2022-03-10
-
2022-03-16
Survey response — day 35, dose 2, dependentMedDRA: Abdominal pain upper, Nausea, Pre-existing disease — Feeling: GoodFree text: Nausea and a stomach ache over the weekend 24-hour... Also he's on a new medication for his ADHD.... And he also ate too much candy on Saturday at a parade so those are all factors of these symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Pre-existing disease, Sneezing — Feeling: FairFree text: Cough-sneazing allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-19 | Pfizer-BioNTech | No |
| 2 | 2022-02-09 | Pfizer-BioNTech | No |
Free text
Release 11 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Mood swings
Release 11 — day 35, dose 2, dependent
Symptoms: Nausea and a stomach ache over the weekend 24-hour... Also he's on a new medication for his ADHD.... And he also ate too much candy on Saturday at a parade so those are all factors of these symptoms.
Release 11 — 3 months, dose 2, dependent
Symptoms: Cough-sneazing allergies
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 pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Mood swings | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release