J78-20880-16227
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 212 / MD
- Registered
- 2021-12-31
- Relationship
- Child or adolescent in my care
- Guardian
- QMF-15556-14644
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-09
Dose 1 — Pfizer-BioNTech
-
2021-12-30
Dose 2 — Pfizer-BioNTech
-
2021-12-31
Registered in v-safe
-
2022-01-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-01-03
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Good · FeverFree text: Colds. Mild congestion.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Site: PainFree text: Colds, mild congestion.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Survey response — day 7, dose 2, dependentMedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: Colds, mild congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
- 2022-01-20
- 2022-01-27
- 2022-02-03
- 2022-02-10
-
2022-04-07
Survey response — 3 months, dose 2, dependentMedDRA: Nasal congestion, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Fever, stuffy nose, congestionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-09 | Pfizer-BioNTech | No |
| 2 | 2021-12-30 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Colds. Mild congestion.
Systemic reaction (other): Colds, mild congestion.
Release 10 — day 7, dose 2, dependent
Systemic reaction (other): Colds, mild congestion
Release 11 — 3 months, dose 2, dependent
Symptoms: Fever, stuffy nose, congestion
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 | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release