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87V-18998-09865

2 vaccinations 2 coded responses 20 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
206 / MD
Registered
2021-12-11
Relationship
Child or adolescent in my care
Guardian
ZAH-10557-23772
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-11
    Registered in v-safe
  2. 2021-12-11
    Dose 1 — Pfizer-BioNTech
    Co-administered: Flu
  3. 2021-12-11
    Health check-in — day 0, dose 1, dependent
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  4. 2021-12-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-12-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-12-15
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-17
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-12-18
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-25
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-01-01
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-01-04
    Dose 2 — Pfizer-BioNTech
  12. 2022-01-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  13. 2022-01-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Headache, Abdominal pain
    Adult check-in
  14. 2022-01-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  15. 2022-01-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  16. 2022-01-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2022-01-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-01-24
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-25
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-02-02
    Survey response — day 28, dose 2, dependent
    MedDRA: Abdominal pain upper, Lethargy, Mood altered — Feeling: Fair
    Free text: Stomach ache, moodiness, lethargy
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-02-09
    Survey response — day 35, dose 2, dependent
    MedDRA: Abdominal discomfort, Irritability — Feeling: Good
    Free text: Upset stomach and mood irritability for a couple of days
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-02-16
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-04-08

Vaccinations

DoseDateManufacturerCo-administered
12021-12-11Pfizer-BioNTech Flu
22022-01-04Pfizer-BioNTech No

Free text

Release 11 — day 28, dose 2, dependent

2022-02-02

Symptoms: Stomach ache, moodiness, lethargy

Release 11 — day 35, dose 2, dependent

2022-02-09

Symptoms: Upset stomach and mood irritability for a couple of days

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
SDAbdominal discomfort · · ✓
SDAbdominal pain upper · · ✓
SDIrritability · · ✓
SDLethargy · · ✓
SDMood altered · · ✓

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