A9B-93132-73158
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 935 / CA
- Registered
- 2021-11-05
- Relationship
- Child or adolescent in my care
- Guardian
- 42V-23378-51567
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-03
Dose 1 — Pfizer-BioNTech
-
2021-11-05
Registered in v-safe
-
2021-11-05
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-07
- 2021-11-19
-
2021-11-24
Dose 2 — Pfizer-BioNTech
-
2021-11-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
-
2021-11-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-29
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sigue teniendo dolor en la axilaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Dolor en la axilaMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
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2021-12-22
Survey response — day 28, dose 2, dependentMedDRA: Eye irritation, Fatigue, Nasal congestion, Rhinalgia — Feeling: FairFree text: Ardor de ojos dolor en las infles y cansancioMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-03 | Pfizer-BioNTech | No |
| 2 | 2021-11-24 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Sigue teniendo dolor en la axila
Systemic reaction (other): Dolor en la axila
Release 10 — day 28, dose 2, dependent
Symptoms: Ardor de ojos dolor en las infles y cansancio
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 | Eye irritation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rhinalgia | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release