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JY8-96614-79647

2 vaccinations 1 coded response 8 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
12-15
ZIP prefix
907 / CA
Registered
2021-11-03
Relationship
Child or adolescent in my care
Guardian
8EU-99736-45927
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-10-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-03
    Registered in v-safe
  3. 2021-11-08
    Dose 2 — Pfizer-BioNTech
  4. 2021-11-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches
    Adult check-in
  5. 2021-11-16
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-23
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  7. 2021-12-01
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  8. 2021-12-07
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  9. 2021-12-14
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-22
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  11. 2022-11-10
    Survey response — 12 months, dose 2, dependent
    MedDRA: COVID-19, Influenza like illness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Covid positive with flu-like symptoms
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-11-10
    Report sent to call center — 12 months, dose 2, dependent
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2022-11-11
  14. 2022-11-14

Vaccinations

DoseDateManufacturerCo-administered
12021-10-06Pfizer-BioNTech No
22021-11-08Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — 12 months, dose 2, dependent

2022-11-10

Symptoms: Covid positive with flu-like symptoms

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
SDCOVID-19 · · ✓
SDInfluenza like illness · · ✓

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