99Q-16188-54667
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 371 / TN
- Registered
- 2021-12-14
- Relationship
- Child or adolescent in my care
- Guardian
- H2G-23491-20130
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-14
Registered in v-safe
-
2021-12-14
Dose 1 — Pfizer-BioNTech
-
2021-12-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-20
- 2021-12-21
- 2021-12-28
- 2022-01-04
-
2022-01-13
Dose 2 — Pfizer-BioNTech
- 2022-01-20
- 2022-01-27
- 2022-02-05
- 2022-02-10
-
2022-02-17
Survey response — day 35, dose 2, dependentMedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: He's just had a runny nose and cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-24
-
2022-07-14
Survey response — 6 months, dose 2, dependentMedDRA: Abdominal pain, Crying, Decreased appetite, Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Out of no where, (b)(6) began complaining that his tummy hurt. He experienced diarrhea, cried, and refused to eat for about 12 hours. It was short lived, but it was so out-of-no where. No adults felt ill. Neither did my baby. Im not sure what happenedMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-14 | Pfizer-BioNTech | No |
| 2 | 2022-01-13 | Pfizer-BioNTech | No |
Free text
Release 11 — day 35, dose 2, dependent
Symptoms: He's just had a runny nose and cough.
Release 12 — 6 months, dose 2, dependent
Symptoms: Out of no where, (b)(6) began complaining that his tummy hurt. He experienced diarrhea, cried, and refused to eat for about 12 hours. It was short lived, but it was so out-of-no where. No adults felt ill. Neither did my baby. Im not sure what happened cut off by CDC
redacted (b)(6)
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 pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Crying | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release