CBZ-18763-56184
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 207 / MD
- Registered
- 2021-11-20
- Relationship
- Child or adolescent in my care
- Guardian
- 68M-10919-04393
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-20
Registered in v-safe
-
2021-11-20
Survey response — day 7, dose 1, dependentMedDRA: Dark circles under eyes — Feeling: GoodFree text: Dark under-eye areaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-08
-
2021-12-22
Survey response — day 21, dose 2, dependentMedDRA: Cough, Nasal congestion — Feeling: FairFree text: Nasal congestion & occasional coughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-29
-
2022-01-05
Survey response — day 35, dose 2, dependentMedDRA: Ear discomfort — Feeling: GoodFree text: He says his left ear feels stuffyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-12
Survey response — day 42, dose 2, dependentMedDRA: Pruritus — Feeling: GoodFree text: Skin on left underarm feels itchy todayMedDRA releases: 2024-11 · check-in free text available
- 2022-03-05
- 2022-06-01
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Dark under-eye area
Release 10 — day 21, dose 2, dependent
Symptoms: Nasal congestion & occasional cough
Release 10 — day 35, dose 2, dependent
Symptoms: He says his left ear feels stuffy
Release 10 — day 42, dose 2, dependent
Symptoms: Skin on left underarm feels itchy today
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 | Cough | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Dark circles under eyes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release