7Q4-10552-28907
3 vaccinations
3 coded responses
13 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 128 / NY
- Registered
- 2021-08-11
- Relationship
- Child or adolescent in my care
- Guardian
- ZK5-21785-62513
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-19
Dose 1 — Pfizer-BioNTech
-
2021-06-09
Dose 2 — Pfizer-BioNTech
-
2021-08-11
Registered in v-safe
-
2022-01-09
Dose 3 — Pfizer-BioNTech
-
2022-01-09
Health check-in — day 0, dose 3, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
-
2022-01-10
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
-
2022-01-11
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Axillary pain — Feeling: Good · Site: Pain, SwellingFree text: Pain in the armpit on the same arm with the injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Swelling · NoneAdult check-in
- 2022-01-15
-
2022-01-16
Survey response — day 7, dose 3, dependentMedDRA: Oropharyngeal pain, SARS-CoV-2 test positive, Upper-airway cough syndrome — Feeling: Fair · Fever · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, postnasal drip, positive home rapid Covid test resultMedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Survey response — day 14, dose 3, dependentMedDRA: Body temperature increased, Cough, Oropharyngeal pain, Rhinorrhoea, Sneezing, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend schoolFree text: Sore throat for two days, with slight cough, runny nose with postnasal drip, sneezing. Max 99.2 F temperature for 1 day. Symptoms resolved quickly, by day 3 there was only the sniffles left.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-06
- 2022-02-13
- 2022-02-20
- 2022-04-10
- 2022-07-12
- 2023-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-19 | Pfizer-BioNTech | No |
| 2 | 2021-06-09 | Pfizer-BioNTech | No |
| 3 | 2022-01-09 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Pain in the armpit on the same arm with the injection site
Release 10 — day 7, dose 3, dependent
Systemic reaction (other): Sore throat, postnasal drip, positive home rapid Covid test result
Release 11 — day 14, dose 3, dependent
Symptoms: Sore throat for two days, with slight cough, runny nose with postnasal drip, sneezing. Max 99.2 F temperature for 1 day. Symptoms resolved quickly, by day 3 there was only the sniffles left.
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release