CZE-94577-35616
1 vaccination
1 coded response
11 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 921 / CA
- Registered
- 2021-11-12
- Relationship
- Child or adolescent in my care
- Guardian
- XPN-23760-84524
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-12
Registered in v-safe
-
2021-11-12
Dose 1 — Pfizer-BioNTech
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-21
- 2021-11-26
- 2022-02-12
- 2022-05-15
-
2022-11-14
Survey response — 12 months, dose 1, dependentMedDRA: Vomiting — Feeling: Fair · Be unable to work or attend schoolFree text: PukingMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
Free text
Release 12 — 12 months, dose 1, dependent
Symptoms: Puking
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 | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release