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
-
2021-05-13
Dose 1 — Pfizer-BioNTech
-
2021-06-03
Dose 2 — Pfizer-BioNTech
-
2022-01-09
Dose 3 — Pfizer-BioNTech
-
2022-01-10
Registered in v-safe
-
2022-01-10
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-11
-
2022-01-13
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain — Feeling: GoodFree text: Tender lymph node at injection-side armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
- 2022-01-15
- 2022-01-16
- 2022-01-23
- 2022-01-30
- 2022-02-06
- 2022-02-13
- 2022-02-20
- 2022-04-10
- 2022-07-10
- 2023-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Pfizer-BioNTech | No |
| 2 | 2021-06-03 | Pfizer-BioNTech | No |
| 3 | 2022-01-09 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Lymph node pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release