8J4-11182-81011
2 vaccinations
2 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 531 / WI
- Registered
- 2021-11-23
- Relationship
- Child or adolescent in my care
- Guardian
- Z4Y-19194-93136
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-22
Dose 1 — Pfizer-BioNTech
-
2021-11-23
Registered in v-safe
-
2021-11-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
-
2021-11-28
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · ChillsFree text: Cough, congestion, probably due to a viral infection that another sibling also hasAdult check-in · check-in free text available
-
2021-11-29
Survey response — day 7, dose 1, dependentMedDRA: Cough, Respiratory tract congestion, Viral infection — Feeling: Fair · Be unable to work or attend schoolFree text: Congestion and cough, probably caused by a separate viral infectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
-
2021-12-13
Dose 2 — Pfizer-BioNTech
- 2021-12-13
-
2021-12-15
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Muscle or body achesAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-27
- 2022-01-03
-
2022-01-10
Survey response — day 28, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Minor cold symptoms, cough, congestion, sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-01-24
- 2022-03-15
- 2022-06-13
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-22 | Pfizer-BioNTech | No |
| 2 | 2021-12-13 | Pfizer-BioNTech | No |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Congestion and cough, probably caused by a separate viral infection
Release 10 — day 28, dose 2, dependent
Symptoms: Minor cold symptoms, cough, congestion, sore throat.
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Cough, congestion, probably due to a viral infection that another sibling also has
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release