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
-
2021-12-11
Registered in v-safe
-
2021-12-11
Dose 1 — Pfizer-BioNTechCo-administered: Flu
-
2021-12-11
Health check-in — day 0, dose 1, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-12-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-12-14
- 2021-12-15
-
2021-12-17
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-12-18
- 2021-12-25
- 2022-01-01
-
2022-01-04
Dose 2 — Pfizer-BioNTech
-
2022-01-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-01-07
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Headache, Abdominal painAdult check-in
-
2022-01-08
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2022-01-09
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Abdominal painAdult check-in
-
2022-01-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-11
- 2022-01-24
- 2022-01-25
-
2022-02-02
Survey response — day 28, dose 2, dependentMedDRA: Abdominal pain upper, Lethargy, Mood altered — Feeling: FairFree text: Stomach ache, moodiness, lethargyMedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Survey response — day 35, dose 2, dependentMedDRA: Abdominal discomfort, Irritability — Feeling: GoodFree text: Upset stomach and mood irritability for a couple of daysMedDRA releases: 2024-11 · check-in free text available
- 2022-02-16
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-11 | Pfizer-BioNTech | Flu |
| 2 | 2022-01-04 | Pfizer-BioNTech | No |
Free text
Release 11 — day 28, dose 2, dependent
Symptoms: Stomach ache, moodiness, lethargy
Release 11 — day 35, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Mood altered | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release