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AAT-13823-36173

4 vaccinations 1 coded response 17 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
148 / NY
Registered
2022-04-27
Relationship
Child or adolescent in my care
Guardian
AKK-12597-84638
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-29
    Dose 2 — Pfizer-BioNTech
  3. 2022-04-27
    Registered in v-safe
  4. 2022-06-01
  5. 2022-06-15
    Dose 3 — Pfizer-BioNTech
  6. 2022-09-16
  7. 2022-11-09
    Dose 4 — Moderna
  8. 2022-11-09
    Health check-in — day 0, dose 4, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2022-11-10
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-11-11
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-11-12
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-11-13
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-11-14
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-11-15
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-11-16
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-11-23
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  17. 2022-11-30
    Survey response — day 21, dose 4, dependent
    MedDRA: Respiratory syncytial virus infection — Feeling: Good
    Free text: Mild RSV
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-12-07
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  19. 2022-12-14
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  20. 2022-12-21
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  21. 2023-02-08
  22. 2023-05-10

Vaccinations

DoseDateManufacturerCo-administered
12021-11-05Pfizer-BioNTech No
22021-11-29Pfizer-BioNTech No
32022-06-15Pfizer-BioNTech No
42022-11-09Moderna No

Free text

Release 12 — day 21, dose 4, dependent

2022-11-30

Symptoms: Mild RSV

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
SDRespiratory syncytial virus infection · · ✓

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