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C4S-15966-87182

3 vaccinations 1 coded response 8 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
958 / CA
Registered
2022-10-07
Relationship
Child or adolescent in my care
Guardian
SRC-13322-51739
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-07-09
    Dose 1 — Pfizer-BioNTech
  2. 2022-07-30
    Dose 2 — Pfizer-BioNTech
  3. 2022-09-24
    Dose 3 — Pfizer-BioNTech
  4. 2022-10-07
    Registered in v-safe
  5. 2022-10-07
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-10-08
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  7. 2022-10-15
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-10-22
    Survey response — day 28, dose 3, under 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, cough
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-10-29
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  10. 2022-11-05
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  11. 2022-12-24
    Health check-in — 3 months, dose 3, under 3
    Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Viral infection; asthmatic reaction; vomiting
    Under 3 check-in · check-in free text available
  12. 2023-03-27
    Health check-in — 6 months, dose 3, under 3
    Feeling: Good
    Under 3 check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-07-09Pfizer-BioNTech No
22022-07-30Pfizer-BioNTech No
32022-09-24Pfizer-BioNTech No

Free text

Release 12 (Under 3) — day 28, dose 3, under 3

2022-10-22

Symptoms: Runny nose, cough

Release 12 (Under 3) — 3 months, dose 3, under 3

2022-12-24

Symptoms: Viral infection; asthmatic reaction; vomiting

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
SDCough · · ✓
SDRhinorrhoea · · ✓

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