C7Y-31636-78222
3 vaccinations
2 coded responses
19 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 917 / CA
- Registered
- 2021-08-18
- Relationship
- Child or adolescent in my care
- Guardian
- ZSD-31515-08505
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-16
Dose 1 — Pfizer-BioNTech
-
2021-08-18
Registered in v-safe
- 2021-08-18
- 2021-08-19
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-30
- 2021-09-06
-
2021-09-08
Dose 2 — Pfizer-BioNTech
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-22
-
2021-09-29
Survey response — day 21, dose 2, dependentMedDRA: Headache, Malaise, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: Had a headache on Monday sept 27th and threw up; wasnt feeling well.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-12-08
- 2022-03-09
-
2022-03-16
Dose 3 — Pfizer-BioNTech
-
2022-09-14
Survey response — 6 months, dose 3, dependentMedDRA: Headache, Malaise, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: He was sick about two weeks ago; with a runny nose and headache.lasted about 7 daysMedDRA releases: 2024-11 · check-in free text available
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-16 | Pfizer-BioNTech | No |
| 2 | 2021-09-08 | Pfizer-BioNTech | No |
| 3 | 2022-03-16 | Pfizer-BioNTech | No |
Free text
Release 9 — day 21, dose 2, dependent
Symptoms: Had a headache on Monday sept 27th and threw up; wasnt feeling well.
Release 12 — 6 months, dose 3, dependent
Symptoms: He was sick about two weeks ago; with a runny nose and headache.lasted about 7 days
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 | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release