EY4-53576-89384
4 vaccinations
5 coded responses
49 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 550 / MN
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- 5CH-29580-00736
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-09
Registered in v-safe
-
2021-11-09
Dose 1 — Pfizer-BioNTech
- 2021-11-09
-
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-23
-
2021-11-30
Dose 2 — Pfizer-BioNTech
- 2021-11-30
-
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-14
- 2021-12-21
-
2021-12-28
Survey response — day 28, dose 2, dependentMedDRA: Influenza — Feeling: Fair · Be unable to work or attend schoolFree text: InfluenzaMedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
-
2022-01-11
Survey response — day 42, dose 2, dependentMedDRA: Streptococcus test positive — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Positive strep test 1/11/22MedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Report sent to call center — day 42, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-12
- 2022-03-01
-
2022-06-01
Survey response — 6 months, dose 2, dependentMedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: (b)(6) tested positive for covid in April, over Easter.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-10
Dose 3 — Pfizer-BioNTech
- 2022-06-10
- 2022-06-11
-
2022-06-12
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Balance disorder, Malaise, Pre-existing disease — Feeling: Fair · Chills, Fatigue or tiredness, Abdominal painFree text: (b)(6) was very wobbly on waking up this morning and he didn't feel well. He tested positive for covid back at Easter so I figured enough time had passed for him to get his first booster but maybe it was too soon.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-13
- 2022-06-14
- 2022-06-15
- 2022-06-16
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
-
2022-07-15
Survey response — day 35, dose 3, dependentMedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
- 2022-09-11
-
2022-11-07
Dose 4 — Pfizer-BioNTech
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-13
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2022-12-20
- 2023-02-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-11-30 | Pfizer-BioNTech | No |
| 3 | 2022-06-10 | Pfizer-BioNTech | No |
| 4 | 2022-11-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 28, dose 2, dependent
Symptoms: Influenza
Release 10 — day 42, dose 2, dependent
Symptoms: Positive strep test 1/11/22
Release 11 — 6 months, dose 2, dependent
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): (b)(6) was very wobbly on waking up this morning and he didn't feel well. He tested positive for covid back at Easter so I figured enough time had passed for him to get his first booster but maybe it was too soon.
redacted (b)(6)
Release 12 — day 35, dose 3, dependent
Symptoms: Stuffy nose
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 | Influenza | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Streptococcus test positive | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release