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ERK-16107-68882

4 vaccinations 3 coded responses 34 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
865 / AZ
Registered
2021-11-05
Relationship
Child or adolescent in my care
Guardian
6U3-30700-66210
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-05
    Registered in v-safe
  3. 2021-11-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-06
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-12
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-17
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  8. 2021-11-24
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-11-30
    Dose 2 — Pfizer-BioNTech
  10. 2021-12-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work or attend school
    Adult check-in
  11. 2021-12-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-14
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-12-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-12-28
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-04
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-13
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-05-20
    Dose 3 — Pfizer-BioNTech
  21. 2022-05-31
  22. 2022-06-20
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  23. 2022-06-24
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  24. 2022-07-01
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  25. 2022-08-19
  26. 2022-10-14
    Dose 4 — Moderna
  27. 2022-10-15
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  28. 2022-10-16
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  29. 2022-10-17
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  30. 2022-10-18
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  31. 2022-10-19
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  32. 2022-10-20
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  33. 2022-10-21
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  34. 2022-10-28
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  35. 2022-11-04
    Survey response — day 21, dose 4, dependent
    MedDRA: Cough — Feeling: Good
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-11-18
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  37. 2022-11-25
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  38. 2023-01-15
  39. 2023-04-14
    Survey response — 6 months, dose 4, dependent
    MedDRA: Nasal congestion, Sneezing — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-11-03Pfizer-BioNTech No
22021-11-30Pfizer-BioNTech No
32022-05-20Pfizer-BioNTech No
42022-10-14Moderna No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-06

Systemic reaction (other): Small bruise at injection site

Release 12 — day 21, dose 4, dependent

2022-11-04

Symptoms: Cough

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
SDCough · · ✓
SDNasal congestion · · ✓
SDSneezing · · ✓
SROInjection site bruising · · ✓

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

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