BWK-97448-15517
4 vaccinations
6 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 064 / CT
- Registered
- 2021-11-29
- Relationship
- Child or adolescent in my care
- Guardian
- XV5-20876-68468
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-29
Registered in v-safe
- 2021-11-29
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
-
2021-12-03
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Neck pain — Feeling: Good · Site: Pain · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
- 2021-12-04
- 2021-12-05
-
2021-12-08
Survey response — 7 day, dose 2, dependentMedDRA: Neck pain — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
-
2022-05-20
Dose 3 — Pfizer-BioNTech
-
2022-05-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-22
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Axillary pain — Feeling: Fair · Site: Pain · HeadacheMedDRA releases: 2024-11 · check-in answers available
-
2022-05-23
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Axillary pain — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
-
2022-05-24
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Discomfort — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-05
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-02
- 2022-08-19
-
2022-10-24
Dose 4 — Pfizer-BioNTech
- 2022-10-24
-
2022-10-26
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-10-28
- 2022-10-29
-
2022-11-08
Survey response — 14 day, dose 4, dependentMedDRA: Influenza — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11 · check-in answers available
- 2022-11-16
- 2022-11-21
- 2022-11-28
- 2022-12-06
- 2023-01-23
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-05-20 | Pfizer-BioNTech | No |
| 4 | 2022-10-24 | Pfizer-BioNTech | No |
Free text
Release 10
Systemic reaction (other): Neck slightly sore.
Systemic reaction (other): Yesterday and today, he had pain at the back of his neck - center. Likely from how his slept. But I just wanted to make note of it.
Release 11
Systemic reaction (other): Pain in armpit area (only left arm where injected)
Systemic reaction (other): Still soreness/pain in armpit area (only the arm where vaccine was injected)
Systemic reaction (other): Still some discomfort in armpit area.
Release 12
Symptoms: He had the flu mildly.
Free-text releases are not linked to a specific 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 | Influenza | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release