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FJE-18796-00800

2 vaccinations 2 coded responses 10 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
300 / GA
Registered
2021-06-25
Relationship
Child or adolescent in my care
Guardian
Y8E-33144-46886
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-24
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-25
    Registered in v-safe
  4. 2021-06-25
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do their normal daily activities
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-26
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  6. 2021-06-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-06-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-06-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-07-01
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-07-08
    Survey response — day 14, dose 2, dependent
    MedDRA: Rash, Rash erythematous, Rash pruritic, Self-medication — Feeling: Fair
    Free text: Developed a red, itchy rash on arms and legs, from unknown origin. Started on 7/5 and still there today. Treating at home with. Benadryl, oatmeal baths, and skin cream.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-24
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  12. 2021-07-29
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2021-08-05
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-03Pfizer-BioNTech No
22021-06-24Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 2, dependent

2021-06-25

Systemic reaction (other): Sore throat

Release 9 — day 14, dose 2, dependent

2021-07-08

Symptoms: Developed a red, itchy rash on arms and legs, from unknown origin. Started on 7/5 and still there today. Treating at home with. Benadryl, oatmeal baths, and skin cream.

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
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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