KE6-37848-83147
1 vaccination
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 286 / NC
- Registered
- 2021-11-13
- Relationship
- Child or adolescent in my care
- Guardian
- 9EZ-21593-85097
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-13
Registered in v-safe
-
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Poor · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-19
Health check-in — day 7, dose 1, dependentFeeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-09
- 2021-12-18
-
2022-02-10
Survey response — 3 months, dose 1, dependentMedDRA: Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Frequent HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
-
2022-11-11
Survey response — 12 months, dose 1, dependentMedDRA: Rhinitis allergic, Vomiting — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Allergic Rhinitis with vomitingMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Report sent to call center — 12 months, dose 1, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — 3 months, dose 1, dependent
Symptoms: Frequent Headaches
Release 12 — 12 months, dose 1, dependent
Symptoms: Allergic Rhinitis with vomiting
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 | Rhinitis allergic | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release