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DJJ-29845-78446

2 vaccinations 1 coded response 15 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
554 / MN
Registered
2021-12-03
Relationship
Child or adolescent in my care
Guardian
5PA-92635-83223
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-03
    Registered in v-safe
  2. 2021-12-03
    Dose 1 — Pfizer-BioNTech
  3. 2021-12-03
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-12-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-12-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-12-12
    Health check-in — day 7, dose 1, dependent
    Feeling: Fair · Headache, Joint pains
    Adult check-in
  7. 2021-12-18
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2021-12-24
    Survey response — day 21, dose 1, dependent
    MedDRA: Abdominal discomfort, Abdominal pain upper, Feeling jittery — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Stomach upset and ache, jittery
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-29
    Dose 2 — Pfizer-BioNTech
  10. 2022-01-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-01-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Fever · Headache, Nausea
    Adult check-in
  12. 2022-01-05
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-01-12
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-01-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-01-28
    Health check-in — day 28, dose 2, dependent
    Feeling: Fair
    Adult check-in
  16. 2022-02-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-03-30
  18. 2022-06-29

Vaccinations

DoseDateManufacturerCo-administered
12021-12-03Pfizer-BioNTech No
22021-12-29Pfizer-BioNTech No

Free text

Release 10 — day 21, dose 1, dependent

2021-12-24

Symptoms: Stomach upset and ache, jittery

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
SDAbdominal discomfort · · ✓
SDAbdominal pain upper · · ✓
SDFeeling jittery · · ✓

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