ELX-17028-54225
4 vaccinations
5 coded responses
33 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 614 / IL
- Registered
- 2021-11-22
- Relationship
- Child or adolescent in my care
- Guardian
- 6HP-78969-35203
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-22
Registered in v-safe
- 2021-11-22
- 2021-11-24
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-05
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-07
- 2022-01-12
- 2022-03-02
- 2022-06-01
-
2022-06-16
Dose 3 — Pfizer-BioNTech
-
2022-06-21
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-06-23
- 2022-07-02
- 2022-07-07
- 2022-07-14
- 2022-07-21
- 2022-07-30
-
2022-09-17
Survey response — 3 months, dose 3, dependentMedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-16
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-19
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Good · Site: Swelling · HeadacheAdult check-in
-
2022-11-20
Health check-in — days 1–6 daily, dose 4, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
-
2022-11-21
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
- 2022-11-30
- 2022-12-09
-
2022-12-16
Survey response — day 28, dose 4, dependentMedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-12-21
- 2022-12-28
- 2023-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-06-16 | Pfizer-BioNTech | No |
| 4 | 2022-11-16 | Pfizer-BioNTech | Flu |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Congestion
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Congestion
Release 12 — 3 months, dose 3, dependent
Symptoms: Sore throat, congestion
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Congestion
Release 12 — day 28, dose 4, dependent
Symptoms: Congestion
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release