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
-
2022-06-26
Registered in v-safe
-
2022-08-04
Dose 1 — Pfizer-BioNTech
-
2022-08-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
-
2022-08-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-08-11
- 2022-08-18
-
2022-08-25
Dose 2 — Pfizer-BioNTech
- 2022-08-25
-
2022-08-26
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Irritability — Feeling: Fair · FeverFree text: Slight irritabilityMedDRA releases: 2024-11 · check-in free text available
- 2022-08-28
- 2022-08-29
- 2022-08-30
- 2022-08-31
- 2022-09-01
- 2022-09-08
- 2022-09-17
- 2022-09-22
-
2022-09-29
Survey response — day 35, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose alot, don't know that it's connectedMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Survey response — day 42, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose alot. Don't know if it's connected.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Dose 3 — Pfizer-BioNTech
-
2022-10-23
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Injection site bruising — Feeling: GoodFree text: Small bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Injection site bruising — Feeling: GoodFree text: Small bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: Small bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-10-27
- 2022-11-05
- 2022-11-10
- 2022-11-17
- 2022-11-27
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-04 | Pfizer-BioNTech | No |
| 2 | 2022-08-25 | Pfizer-BioNTech | No |
| 3 | 2022-10-20 | Pfizer-BioNTech | No |
Free text
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Slight irritability
Release 12 — day 35, dose 2, dependent
Symptoms: Runny nose alot, don't know that it's connected
Release 12 — day 42, dose 2, dependent
Symptoms: Runny nose alot. Don't know if it's connected.
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Small bruise at injection site
Systemic reaction (other): Small bruise at injection site
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release