6UN-18681-08190
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 775 / TX
- Registered
- 2021-11-17
- Relationship
- Child or adolescent in my care
- Guardian
- PV6-10726-59504
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-17
Registered in v-safe
-
2021-11-17
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Survey response — day 0, dose 1, dependentMedDRA: Pre-existing disease — Feeling: Fair · Site: PainFree text: Child was diagnosed with pneumonia yesterday (day before vaccination was administered) and cough and congestion was present before vaccine was given. Is currently taking 2 antibioticsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-19
- 2021-11-23
- 2021-11-26
- 2021-12-01
-
2021-12-08
Dose 2 — Pfizer-BioNTech
-
2021-12-09
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-17
-
2021-12-22
Survey response — day 14, dose 2, dependentMedDRA: Cough, Exposure to SARS-CoV-2, Nasal congestion, SARS-CoV-2 test negative, Self-medication — Feeling: GoodFree text: Nasal congestion, cough. Seem to be controlled with children's Zyrtec ( morning) and Benadryl or Dimetap (evening). (b)(6) did spend the weekend with someone who tested positive the day after returning from a trip. At home covid test was negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
-
2022-03-09
Survey response — 3 months, dose 2, dependentMedDRA: Abdominal pain upper, Cough, Headache, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: Complaining of headache, stomach ache, severe congestion, cough. Tested negative for covid. Suspect allergies or a seasonal cold virus.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — 6 months, dose 2, dependentMedDRA: Allergy to chemicals, Condition aggravated, Office visit, Pre-existing disease, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed a sever eye irritation (likely due to chlorine), diagnosed by eye doctor. Prescribed prednisone eye drops. Had slight irritation in the past but nothing this severe. Also developed upper respiratory infection, antibiotics for treatment. · Healthcare visit (other): Regular doctor office (in person) visitMedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Report sent to call center — 6 months, dose 2, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2022-06-09
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-17 | Pfizer-BioNTech | No |
| 2 | 2021-12-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 0, dose 1, dependent
Systemic reaction (other): Child was diagnosed with pneumonia yesterday (day before vaccination was administered) and cough and congestion was present before vaccine was given. Is currently taking 2 antibiotics
Release 10 — day 14, dose 2, dependent
Symptoms: Nasal congestion, cough. Seem to be controlled with children's Zyrtec ( morning) and Benadryl or Dimetap (evening). (b)(6) did spend the weekend with someone who tested positive the day after returning from a trip. At home covid test was negative.
redacted (b)(6)
Release 11 — 3 months, dose 2, dependent
Symptoms: Complaining of headache, stomach ache, severe congestion, cough. Tested negative for covid. Suspect allergies or a seasonal cold virus.
Release 11 — 6 months, dose 2, dependent
Symptoms: Developed a sever eye irritation (likely due to chlorine), diagnosed by eye doctor. Prescribed prednisone eye drops. Had slight irritation in the past but nothing this severe. Also developed upper respiratory infection, antibiotics for treatment.
Healthcare visit (other): Regular doctor office (in person) visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Allergy to chemicals | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release