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
-
2021-06-03
Dose 1 — Pfizer-BioNTech
-
2021-06-24
Dose 2 — Pfizer-BioNTech
-
2021-06-25
Registered in v-safe
-
2021-06-25
Survey response — days 1–6 daily, dose 2, dependentMedDRA: 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 activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · HeadacheAdult check-in
-
2021-06-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-06-28
- 2021-06-30
- 2021-07-01
-
2021-07-08
Survey response — day 14, dose 2, dependentMedDRA: Rash, Rash erythematous, Rash pruritic, Self-medication — Feeling: FairFree 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
- 2021-07-24
- 2021-07-29
- 2021-08-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-03 | Pfizer-BioNTech | No |
| 2 | 2021-06-24 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Sore throat
Release 9 — day 14, dose 2, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release