D55-64384-09699
2 vaccinations
1 coded response
18 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 549 / WI
- Registered
- 2021-08-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
789-23355-16690
Child or adolescent in my care · Male · 2021-08-07
25V-54559-20635
Adult relative or friend · Female · 2021-08-07
Timeline
-
2021-08-06
Dose 1 — Pfizer-BioNTech
-
2021-08-07
Registered in v-safe
- 2021-08-07
- 2021-08-08
- 2021-08-09
- 2021-08-10
- 2021-08-11
-
2021-08-27
Dose 2 — Pfizer-BioNTechCo-administered: Flu
- 2021-08-29
- 2021-08-30
- 2021-09-01
- 2021-09-02
- 2021-09-03
-
2021-09-11
Survey response — day 14, dose 2MedDRA: Ear discomfort, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, runny nose, pressure in earsMedDRA releases: 2024-11 · check-in free text available
- 2021-09-17
- 2021-09-24
- 2021-10-01
- 2021-10-09
- 2021-11-26
- 2022-03-02
- 2022-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-06 | Pfizer-BioNTech | No |
| 2 | 2021-08-27 | Pfizer-BioNTech | Flu |
Free text
Release 9 — day 14, dose 2
Symptoms: Sore throat, runny nose, pressure in ears
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 | Ear discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release