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9QN-30016-69418

3 vaccinations 2 coded responses 12 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
217 / MD
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
K88-88690-33842
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-29
    Dose 2 — Pfizer-BioNTech
  3. 2022-06-26
    Dose 3 — Pfizer-BioNTech
  4. 2022-06-29
    Registered in v-safe
  5. 2022-06-29
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Headache, Lymph node pain, Lymphadenopathy, Pyrexia — Feeling: Good · Site: Pain, Swelling
    Free text: Headache and small fever second day after shot. Armpit lymph nodes swollen and sore too
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-02
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-03
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-10
    Survey response — day 14, dose 3, dependent
    MedDRA: Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Randomly yesterday he ran a low grade fever for no reason. Perfectly fine today. Probably not even related.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-07-17
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-24
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-08-01
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-08-07
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-09-25
  15. 2022-12-26
  16. 2023-06-26

Vaccinations

DoseDateManufacturerCo-administered
12021-11-07Pfizer-BioNTech No
22021-11-29Pfizer-BioNTech No
32022-06-26Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 3, dependent

2022-06-29

Systemic reaction (other): Headache and small fever second day after shot. Armpit lymph nodes swollen and sore too

Release 12 — day 14, dose 3, dependent

2022-07-10

Symptoms: Randomly yesterday he ran a low grade fever for no reason. Perfectly fine today. Probably not even related.

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
SDPyrexia · · ✓
SROHeadache · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPyrexia · · ✓

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