K6J-15735-82512
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 558 / MN
- Registered
- 2021-11-09
- Relationship
- Child or adolescent in my care
- Guardian
- ZX2-11125-05249
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-09
Registered in v-safe
-
2021-11-09
Dose 1 — Pfizer-BioNTech
- 2021-11-09
-
2021-11-10
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to work or attend schoolFree text: Runny nose/congestion - started pre-vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
-
2021-11-23
Survey response — day 14, dose 1, dependentMedDRA: Myalgia, Unevaluable event — Feeling: GoodFree text: Sore leg muscles, probably from a playground incidentMedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Dose 2 — Pfizer-BioNTech
- 2021-11-30
-
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Abdominal painAdult check-in
-
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Muscle or body achesAdult check-in
- 2021-12-04
- 2021-12-05
-
2021-12-06
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Middle insomnia — Feeling: GoodFree text: More frequent night wakingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-14
-
2021-12-21
Survey response — day 21, dose 2, dependentMedDRA: Cough, Decreased appetite, Fatigue, Lacrimation increased, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: A cold - coughing, congestion, runny nose, watery eyes, mild fatigue, decreased appetite.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-03-01
- 2022-05-31
- 2022-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-11-30 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Runny nose/congestion - started pre-vaccine
Release 10 — day 14, dose 1, dependent
Symptoms: Sore leg muscles, probably from a playground incident
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): More frequent night waking
Release 10 — day 21, dose 2, dependent
Symptoms: A cold - coughing, congestion, runny nose, watery eyes, mild fatigue, decreased appetite.
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 | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release