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DAP-22967-96680

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
452 / OH
Registered
2021-11-16
Relationship
Child or adolescent in my care
Guardian
YC3-16100-47819
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-16
    Registered in v-safe
  2. 2021-11-16
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-19
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-20
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-21
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-22
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-23
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-12-02
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-12-04
    Dose 2 — Pfizer-BioNTech
  10. 2021-12-07
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Swelling — Feeling: Good · Muscle or body aches
    Free text: The left side of his chest is raised.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-08
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Swelling — Feeling: Good · Nausea
    Free text: Left side of chest is swollen
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-13
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-20
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2021-12-25
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-01
    Survey response — day 28, dose 2, dependent
    MedDRA: COVID-19, Decreased appetite, Eye pain, Headache, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Contracted Covid-19. Vomiting, headache, eyes hurting, loss of apetite, sore bodyaches.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-08
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-15
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-03-05
    Survey response — 3 months, dose 2, dependent
    MedDRA: Chest pain, Cough, Oropharyngeal pain — Feeling: Fair
    Free text: Coughing, throat and chest pain.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-06-04
    Survey response — 6 months, dose 2, dependent
    MedDRA: Swelling — Feeling: Good
    Free text: Chest is raised on left side
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-12-04

Vaccinations

DoseDateManufacturerCo-administered
12021-11-16Pfizer-BioNTech No
22021-12-04Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-07

Systemic reaction (other): The left side of his chest is raised.

2021-12-08

Systemic reaction (other): Left side of chest is swollen

Release 10 — day 28, dose 2, dependent

2022-01-01

Symptoms: Contracted Covid-19. Vomiting, headache, eyes hurting, loss of apetite, sore bodyaches.

Release 11 — 3 months, dose 2, dependent

2022-03-05

Symptoms: Coughing, throat and chest pain.

Release 11 — 6 months, dose 2, dependent

2022-06-04

Symptoms: Chest is raised on left side

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

FieldPreferred term2021-092023-042024-11
SDChest pain · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDecreased appetite · · ✓
SDEye pain · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDSwelling · · ✓
SDVomiting · · ✓
SROSwelling · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release