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74A-88764-66669

4 vaccinations 1 coded response 33 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
591 / MT
Registered
2021-11-06
Relationship
Child or adolescent in my care
Guardian
YYE-31386-53191
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-11-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-06
    Registered in v-safe
  3. 2021-11-06
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-10
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-11-19
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-11-28
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-11-30
    Dose 2 — Pfizer-BioNTech
  13. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-07
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-14
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2021-12-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2021-12-28
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-04
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-01-11
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-03-01
  24. 2022-05-19
    Dose 3 — Pfizer-BioNTech
  25. 2022-05-31
  26. 2022-06-21
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  27. 2022-06-23
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  28. 2022-07-02
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-08-18
  30. 2022-11-17
    Survey response — 6 months, dose 3, dependent
    MedDRA: COVID-19, Viral upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school
    Free text: Covid viral URI without bacterial complications Middle of October, separate viral URI within the last two weeks
    MedDRA releases: 2024-11 · check-in free text available
  31. 2023-01-03
    Dose 4 — Pfizer-BioNTech
  32. 2023-01-10
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  33. 2023-01-19
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  34. 2023-01-26
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  35. 2023-02-02
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  36. 2023-02-07
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  37. 2023-02-14
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  38. 2023-04-04

Vaccinations

DoseDateManufacturerCo-administered
12021-11-05Pfizer-BioNTech No
22021-11-30Pfizer-BioNTech No
32022-05-19Pfizer-BioNTech No
42023-01-03Pfizer-BioNTech No

Free text

Release 12 — 6 months, dose 3, dependent

2022-11-17

Symptoms: Covid viral URI without bacterial complications Middle of October, separate viral URI within the last two weeks

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 · · ✓
SDViral upper respiratory tract infection · · ✓

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

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