G2K-12277-73634
3 vaccinations
3 coded responses
8 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 112 / NY
- Registered
- 2021-07-01
- Relationship
- Child or adolescent in my care
- Guardian
- L4E-90796-53449
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-28
Dose 1 — Pfizer-BioNTech
-
2021-07-01
Registered in v-safe
- 2021-07-02
- 2021-07-03
- 2021-07-04
- 2021-07-05
-
2021-07-19
Dose 2 — Pfizer-BioNTech
- 2022-01-17
-
2022-05-18
Dose 3 — Pfizer-BioNTech
-
2022-06-01
Survey response — day 14, dose 3, dependentMedDRA: Chills, Pyrexia — Feeling: GoodFree text: Slight chill and feverMedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — day 21, dose 3, dependentMedDRA: Cough, Nasal congestion — Feeling: GoodFree text: Stuffy nose, slight coughMedDRA releases: 2024-11 · check-in free text available
-
2023-05-18
Survey response — 12 months, dose 3, dependentMedDRA: Influenza, Nasopharyngitis, Pharyngitis — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-28 | Pfizer-BioNTech | No |
| 2 | 2021-07-19 | Pfizer-BioNTech | No |
| 3 | 2022-05-18 | Pfizer-BioNTech | No |
Free text
Release 11 — day 14, dose 3, dependent
Symptoms: Slight chill and fever
Release 11 — day 21, dose 3, dependent
Symptoms: Stuffy nose, slight 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release