ADU-10329-66379
4 vaccinations
3 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 981 / WA
- Registered
- 2022-08-20
- Relationship
- Child or adolescent in my care
- Guardian
- Z8P-28556-25693
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-19
Dose 1 — Pfizer-BioNTech
-
2021-12-10
Dose 2 — Pfizer-BioNTech
-
2022-08-19
Dose 3 — Pfizer-BioNTech
-
2022-08-20
Registered in v-safe
-
2022-08-20
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-24
- 2022-08-26
- 2022-09-02
- 2022-09-09
- 2022-09-18
- 2022-09-23
-
2022-09-30
Survey response — day 42, dose 3, dependentMedDRA: Nasal congestion, Pre-existing disease — Feeling: FairFree text: Nasal stuffiness (possibly related to seasonal allergies though)MedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Dose 4 — Pfizer-BioNTech
- 2022-11-11
-
2022-11-12
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Nasal congestion — Feeling: Good · Site: PainFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
-
2023-02-10
Survey response — 3 months, dose 4, dependentMedDRA: Loss of personal independence in daily activities — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-19 | Pfizer-BioNTech | No |
| 2 | 2021-12-10 | Pfizer-BioNTech | No |
| 3 | 2022-08-19 | Pfizer-BioNTech | No |
| 4 | 2022-11-11 | Pfizer-BioNTech | No |
Free text
Release 12 — day 42, dose 3, dependent
Symptoms: Nasal stuffiness (possibly related to seasonal allergies though)
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Stuffy nose
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 | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release