D2L-16927-25321
3 vaccinations
1 coded response
27 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 530 / WI
- Registered
- 2021-11-27
- Relationship
- Child or adolescent in my care
- Guardian
- 673-17611-87154
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-18
Dose 1 — Pfizer-BioNTech
-
2021-11-27
Registered in v-safe
- 2021-11-27
- 2021-12-02
-
2021-12-09
Dose 2 — Pfizer-BioNTech
- 2021-12-09
-
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-14
- 2021-12-15
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-12
- 2022-06-09
-
2022-08-25
Dose 3 — Pfizer-BioNTech
- 2022-08-25
- 2022-08-26
- 2022-08-27
- 2022-08-28
- 2022-08-29
- 2022-08-31
- 2022-09-03
- 2022-09-17
-
2022-09-22
Survey response — day 28, dose 3, dependentMedDRA: Headache, Pyrexia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever and headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Report sent to call center — day 28, dose 3, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-23
- 2022-09-29
- 2022-10-08
- 2022-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-18 | Pfizer-BioNTech | No |
| 2 | 2021-12-09 | Pfizer-BioNTech | No |
| 3 | 2022-08-25 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 28, dose 3, dependent
Symptoms: Fever and headache
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 | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release