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J5C-19735-40972

2 vaccinations 1 coded response 12 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
497 / MI
Registered
2022-06-26
Relationship
Child or adolescent in my care
Guardian
8BE-31375-07692
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-26
    Registered in v-safe
  2. 2022-06-29
    Dose 1 — Pfizer-BioNTech
  3. 2022-06-29
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Redness · None
    Adult check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-07
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-20
    Dose 2 — Pfizer-BioNTech
  10. 2022-07-28
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-08-05
    Survey response — day 14, dose 2, dependent
    MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school
    Free text: Positive COVID test
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-08-10
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  13. 2022-08-17
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  14. 2022-08-26
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  15. 2022-08-31
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-29Pfizer-BioNTech No
22022-07-20Pfizer-BioNTech No

Free text

Release 12 — day 14, dose 2, dependent

2022-08-05

Symptoms: Positive COVID test

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
SDSARS-CoV-2 test positive · · ✓

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

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