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DVS-14631-35001

3 vaccinations 6 coded responses 28 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
342 / FL
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
FWC-16635-77226
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-06-26
    Registered in v-safe
  2. 2022-08-04
    Dose 1 — Pfizer-BioNTech
  3. 2022-08-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2022-08-10
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2022-08-11
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-08-18
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2022-08-25
    Dose 2 — Pfizer-BioNTech
  8. 2022-08-25
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-08-26
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Irritability — Feeling: Fair · Fever
    Free text: Slight irritability
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-08-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-08-29
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-08-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-08-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2022-09-01
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-09-08
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-09-17
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2022-09-22
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-09-29
    Survey response — day 35, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose alot, don't know that it's connected
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-10-06
    Survey response — day 42, dose 2, dependent
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose alot. Don't know if it's connected.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-10-20
    Dose 3 — Pfizer-BioNTech
  21. 2022-10-23
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-24
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-10-25
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Injection site bruising — Feeling: Good · Fatigue or tiredness
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-10-26
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  25. 2022-10-27
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  26. 2022-11-05
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  27. 2022-11-10
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  28. 2022-11-17
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-11-27
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  30. 2022-12-01
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  31. 2023-01-19
  32. 2023-04-20

Vaccinations

DoseDateManufacturerCo-administered
12022-08-04Pfizer-BioNTech No
22022-08-25Pfizer-BioNTech No
32022-10-20Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 2, dependent

2022-08-26

Systemic reaction (other): Slight irritability

Release 12 — day 35, dose 2, dependent

2022-09-29

Symptoms: Runny nose alot, don't know that it's connected

Release 12 — day 42, dose 2, dependent

2022-10-06

Symptoms: Runny nose alot. Don't know if it's connected.

Release 12 — days 1–6 daily, dose 3, dependent

2022-10-23

Systemic reaction (other): Small bruise at injection site

2022-10-24

Systemic reaction (other): Small bruise at injection site

2022-10-25

Systemic reaction (other): Small bruise at injection site

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
SDRhinorrhoea · · ✓
SROInjection site bruising · · ✓
SROIrritability · · ✓

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