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DPH-10554-61886

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
427 / KY
Registered
2022-01-08
Relationship
Other
Guardian
Y24-19780-54056
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-30
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-08
    Registered in v-safe
  4. 2022-01-08
    Survey response — day 7, dose 2, dependent
    MedDRA: Pain in extremity, Reaction to previous exposure to any vaccine — Feeling: Good
    Free text: With the first vaccine, he ran about100.3 to 101.4 fever for about 24 hours. He had a sore arm and complained with a headache a few times in that 24 hours. The 2nd vaccine seemed to not have any symptoms but a little sore arm.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-01-13
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  6. 2022-01-20
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  7. 2022-01-28
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2022-02-03
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  9. 2022-02-10
    Survey response — day 42, dose 2, dependent
    MedDRA: Loss of personal independence in daily activities, Pyrexia — Feeling: Poor · Be unable to work or attend school
    Free text: Running a fever, 102.5 degrees. Stayed home from school and is going to the doctor tomorrow morning for a covid test.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-03-31
  11. 2022-07-02
  12. 2023-01-02

Vaccinations

DoseDateManufacturerCo-administered
12021-12-03Pfizer-BioNTech No
22021-12-30Pfizer-BioNTech No

Free text

Release 10 — day 7, dose 2, dependent

2022-01-08

Systemic reaction (other): With the first vaccine, he ran about100.3 to 101.4 fever for about 24 hours. He had a sore arm and complained with a headache a few times in that 24 hours. The 2nd vaccine seemed to not have any symptoms but a little sore arm.

Release 11 — day 42, dose 2, dependent

2022-02-10

Symptoms: Running a fever, 102.5 degrees. Stayed home from school and is going to the doctor tomorrow morning for a covid test.

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
SDLoss of personal independence in daily activities · · ✓
SDPyrexia · · ✓
SROPain in extremity · · ✓
SROReaction to previous exposure to any vaccine · · ✓

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