KCA-91071-89488
3 vaccinations
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 971 / OR
- Registered
- 2021-11-20
- Relationship
- Child or adolescent in my care
- Guardian
- NGB-21053-63465
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTechCo-administered: Flu
-
2021-11-20
Registered in v-safe
-
2021-11-20
Health check-in — day 7, dose 1, dependentFeeling: Poor · Headache · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-02
Dose 2 — Pfizer-BioNTech
-
2021-12-18
Survey response — day 14, dose 2, dependentMedDRA: Headache, Pain — Feeling: Good · Be unable to work or attend schoolFree text: For Week after headaches and achyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
- 2021-12-30
- 2022-01-06
-
2022-01-13
Survey response — day 42, dose 2, dependentMedDRA: Influenza — Feeling: Fair · Be unable to work or attend schoolFree text: FluMedDRA releases: 2024-11 · check-in free text available
- 2022-03-03
-
2022-05-22
Dose 3 — Pfizer-BioNTech
-
2022-05-26
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Chills, Nausea · Be unable to work or attend schoolAdult check-in
-
2022-05-31
Health check-in — day 7, dose 3, dependentFeeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2022-06-07
- 2022-06-12
- 2022-06-22
- 2022-06-26
- 2022-07-05
- 2022-08-21
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | Flu |
| 2 | 2021-12-02 | Pfizer-BioNTech | No |
| 3 | 2022-05-22 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 2, dependent
Symptoms: For Week after headaches and achy
Release 10 — day 42, dose 2, dependent
Symptoms: Flu
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 | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release