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DPH-16511-94040

1 vaccination 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
631 / MO
Registered
2021-11-07
Relationship
Child or adolescent in my care
Guardian
7H5-33502-18374
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-07
    Registered in v-safe
  3. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-23
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-02-05
    Survey response — 3 months, dose 1, dependent
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: Covid positive 5 days ago
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-06Pfizer-BioNTech No

Free text

Release 11 — 3 months, dose 1, dependent

2022-02-05

Symptoms: Covid positive 5 days ago

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
SDCOVID-19 · · ✓

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