9AZ-14564-10382
2 vaccinations
1 coded response
22 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 923 / CA
- Registered
- 2021-11-25
- Relationship
- Child or adolescent in my care
- Guardian
- 4WP-17847-02166
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-23
Dose 1 — Pfizer-BioNTech
-
2021-11-25
Registered in v-safe
-
2021-11-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
- 2021-12-14
-
2021-12-18
Dose 2 — Pfizer-BioNTech
-
2021-12-19
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
- 2021-12-20
- 2021-12-21
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
-
2022-01-29
Survey response — day 42, dose 2, dependentMedDRA: COVID-19, Cough, Decreased appetite, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: On 1-23-22 Became positive with Covid , headache, fever, throat pain, Runny nose And coughing last 2-3. Lost Appetite the first day third day the headaches and throat continue as of today seems goodMedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Report sent to call center — day 42, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-19
- 2022-03-31
- 2022-06-19
- 2022-12-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-23 | Pfizer-BioNTech | No |
| 2 | 2021-12-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — day 42, dose 2, dependent
Symptoms: On 1-23-22 Became positive with Covid , headache, fever, throat pain, Runny nose And coughing last 2-3. Lost Appetite the first day third day the headaches and throat continue as of today seems good
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 | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release