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89J-31357-02579

4 vaccinations 1 coded response 39 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
794 / TX
Registered
2021-11-11
Relationship
Child or adolescent in my care
Guardian
6LK-44615-04731
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-11
    Registered in v-safe
  3. 2021-11-11
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-18
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  5. 2021-11-25
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  6. 2021-11-30
    Dose 2 — Pfizer-BioNTech
  7. 2021-12-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-12-07
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-14
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2021-12-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2021-12-28
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-04
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-01-11
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-03-01
  19. 2022-06-02
  20. 2022-08-04
    Dose 3 — Pfizer-BioNTech
  21. 2022-08-04
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  22. 2022-08-05
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  23. 2022-08-07
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  24. 2022-08-09
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  25. 2022-08-10
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  26. 2022-08-11
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  27. 2022-08-18
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  28. 2022-08-25
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-09-03
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  30. 2022-09-08
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  31. 2022-11-03
  32. 2022-12-22
    Dose 4 — Pfizer-BioNTech
  33. 2022-12-24
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2022-12-25
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Free text: Eye irritation
    Adult check-in · check-in free text available
  35. 2022-12-26
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  36. 2022-12-27
    Survey response — days 1–6 daily, dose 4, dependent
    MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-12-28
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  38. 2022-12-29
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  39. 2023-01-05
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  40. 2023-01-12
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  41. 2023-01-19
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  42. 2023-01-26
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  43. 2023-02-02
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  44. 2023-03-23

Vaccinations

DoseDateManufacturerCo-administered
12021-11-04Pfizer-BioNTech No
22021-11-30Pfizer-BioNTech No
32022-08-04Pfizer-BioNTech No
42022-12-22Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 4, dependent

2022-12-25

Systemic reaction (other): Eye irritation

2022-12-27

Systemic reaction (other): Runny nose

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
SRORhinorrhoea · · ✓

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

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