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6TB-15669-98681

3 vaccinations 2 coded responses 11 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
800 / CO
Registered
2022-01-16
Relationship
Child or adolescent in my care
Guardian
4HC-29168-05169
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-06
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-15
    Dose 3 — Pfizer-BioNTech
  4. 2022-01-16
    Registered in v-safe
  5. 2022-01-16
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Adult check-in
  6. 2022-01-17
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain
    Free text: Slight swelling of right fingers
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-18
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-01-25
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-01-29
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-02-05
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-02-14
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-02-19
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-02-26
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-04-16
    Survey response — 3 months, dose 3, dependent
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: COVID
    MedDRA releases: 2024-11 · check-in free text available
  15. 2023-01-17

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Pfizer-BioNTech No
22021-06-06Pfizer-BioNTech No
32022-01-15Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 3, dependent

2022-01-17

Systemic reaction (other): Slight swelling of right fingers

Release 11 — 3 months, dose 3, dependent

2022-04-16

Symptoms: 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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SROPeripheral swelling · · ✓

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

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