J6T-35923-78076
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 201 / VA
- Registered
- 2021-11-25
- Relationship
- Child or adolescent in my care
- Guardian
- 7XB-96662-08085
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-20
Dose 1 — Pfizer-BioNTech
-
2021-11-25
Registered in v-safe
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-12-04
- 2021-12-11
-
2021-12-18
Dose 2 — Pfizer-BioNTech
- 2021-12-18
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-24
-
2022-01-29
Survey response — day 42, dose 2, dependentMedDRA: Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Congestion, runny nose, tiredMedDRA releases: 2024-11 · check-in free text available
- 2022-03-21
-
2022-06-19
Survey response — 6 months, dose 2, dependentMedDRA: Abdominal pain upper, Headache, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever, headache, stomach acheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Survey response — 12 months, dose 2, dependentMedDRA: Ear infection viral — Feeling: Good · Be unable to work or attend schoolFree text: Virus Ear infectionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-20 | Pfizer-BioNTech | No |
| 2 | 2021-12-18 | Pfizer-BioNTech | No |
Free text
Release 11 — day 42, dose 2, dependent
Symptoms: Congestion, runny nose, tired
Release 12 — 6 months, dose 2, dependent
Symptoms: Fever, headache, stomach ache
Release 12 — 12 months, dose 2, dependent
Symptoms: Virus Ear infection
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 | Abdominal pain upper | · | · | ✓ |
| SD | Ear infection viral | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release