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6CG-33652-21053

3 vaccinations 1 coded response 24 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
605 / IL
Registered
2021-11-09
Relationship
Child or adolescent in my care
Guardian
65Y-21076-68457
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-09
    Registered in v-safe
  3. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-11
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-18
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  6. 2021-11-25
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2021-11-28
    Dose 2 — Pfizer-BioNTech
  8. 2021-11-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-12-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-12-03
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Chest pain — Feeling: Good · Abdominal pain
    Free text: intermittent chest pain
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-05
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-12
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2021-12-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-02
    Health check-in — day 35, dose 2, dependent
    Feeling: Fair
    Adult check-in
  17. 2022-01-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-02-27
  19. 2022-08-11
    Dose 3 — Pfizer-BioNTech
  20. 2022-08-11
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  21. 2022-08-12
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2022-08-13
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2022-08-17
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  24. 2022-08-19
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  25. 2022-08-25
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  26. 2022-09-03
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  27. 2022-09-18
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  28. 2022-09-24
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-11-04Pfizer-BioNTech No
22021-11-28Pfizer-BioNTech No
32022-08-11Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-03

Systemic reaction (other): intermittent chest pain

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

FieldPreferred term2021-092023-042024-11
SROChest pain · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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