CTY-93919-05468
3 vaccinations
3 coded responses
13 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 841 / UT
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- 34V-21834-30002
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTechCo-administered: Flu
-
2021-11-29
Dose 2 — Pfizer-BioNTech
-
2022-06-27
Registered in v-safe
-
2022-07-21
Dose 3 — Pfizer-BioNTech
-
2022-07-22
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal painAdult check-in
-
2022-07-23
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · FeverMedDRA releases: 2024-11 · check-in answers available
-
2022-07-24
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Axillary pain — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-07-25
- 2022-07-27
- 2022-07-28
- 2022-08-04
-
2022-08-11
Survey response — 21 day, dose 3, dependentMedDRA: Rhinovirus infection — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-08-23
- 2022-08-25
- 2022-09-03
- 2022-10-20
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | Flu |
| 2 | 2021-11-29 | Pfizer-BioNTech | No |
| 3 | 2022-07-21 | Pfizer-BioNTech | No |
Free text
Release 12
Systemic reaction (other): Swollen lymph node and mild pain in armpit
Systemic reaction (other): Soreness in underarm
Symptoms: Caught rhinovirus
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 | Rhinovirus infection | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release