BV3-10485-44500
2 vaccinations
3 coded responses
5 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 142 / NY
- Registered
- 2021-12-20
- Relationship
- Child or adolescent in my care
- Guardian
- JAL-23565-17071
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-12-05
Dose 2 — Pfizer-BioNTech
-
2021-12-20
Registered in v-safe
-
2022-01-10
Survey response — day 35, dose 2, dependentMedDRA: Chills, Headache — Feeling: Poor · Be unable to work or attend schoolFree text: Headache and chillsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-16
Survey response — day 42, dose 2, dependentMedDRA: Headache, Pain, Pyrexia, Quarantine, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend schoolFree text: Tested positive for Covid in 1/10 with headache, body ache and fever- has been in quarantine.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-09
- 2022-06-07
-
2022-12-07
Survey response — 12 months, dose 2, dependentMedDRA: Breast swelling — Feeling: FairFree text: Breast bud swelling on one side in January 2022, could be prepubescent development but think it should be reported- has since resolvedMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
Free text
Release 10 — day 35, dose 2, dependent
Symptoms: Headache and chills
Release 10 — day 42, dose 2, dependent
Symptoms: Tested positive for Covid in 1/10 with headache, body ache and fever- has been in quarantine.
Release 12 — 12 months, dose 2, dependent
Symptoms: Breast bud swelling on one side in January 2022, could be prepubescent development but think it should be reported- has since resolved
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 | Breast swelling | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release