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G67-12112-71949

3 vaccinations 1 coded response 14 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
961 / CA
Registered
2022-01-10
Relationship
Child or adolescent in my care
Guardian
ZHF-29428-10018
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-03
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-09
    Dose 3 — Pfizer-BioNTech
  4. 2022-01-10
    Registered in v-safe
  5. 2022-01-10
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2022-01-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-01-13
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Lymph node pain — Feeling: Good
    Free text: Tender lymph node at injection-side armpit
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-14
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-01-15
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-01-16
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-01-23
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-30
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-02-06
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-02-13
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2022-02-20
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-04-10
  17. 2022-07-10
  18. 2023-01-09

Vaccinations

DoseDateManufacturerCo-administered
12021-05-13Pfizer-BioNTech No
22021-06-03Pfizer-BioNTech No
32022-01-09Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 3, dependent

2022-01-13

Systemic reaction (other): Tender lymph node at injection-side armpit

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
SROLymph node pain · · ✓

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