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
-
2021-11-16
Registered in v-safe
-
2021-11-16
Dose 1 — Pfizer-BioNTech
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-12-02
-
2021-12-04
Dose 2 — Pfizer-BioNTech
-
2021-12-07
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Swelling — Feeling: Good · Muscle or body achesFree text: The left side of his chest is raised.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Swelling — Feeling: Good · NauseaFree text: Left side of chest is swollenMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-13
- 2021-12-20
- 2021-12-25
-
2022-01-01
Survey response — day 28, dose 2, dependentMedDRA: COVID-19, Decreased appetite, Eye pain, Headache, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Contracted Covid-19. Vomiting, headache, eyes hurting, loss of apetite, sore bodyaches.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-08
- 2022-01-15
-
2022-03-05
Survey response — 3 months, dose 2, dependentMedDRA: Chest pain, Cough, Oropharyngeal pain — Feeling: FairFree text: Coughing, throat and chest pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Survey response — 6 months, dose 2, dependentMedDRA: Swelling — Feeling: GoodFree text: Chest is raised on left sideMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-16 | Pfizer-BioNTech | No |
| 2 | 2021-12-04 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): The left side of his chest is raised.
Systemic reaction (other): Left side of chest is swollen
Release 10 — day 28, dose 2, dependent
Symptoms: Contracted Covid-19. Vomiting, headache, eyes hurting, loss of apetite, sore bodyaches.
Release 11 — 3 months, dose 2, dependent
Symptoms: Coughing, throat and chest pain.
Release 11 — 6 months, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release