KQZ-28911-40017
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 553 / MN
- Registered
- 2022-01-19
- Relationship
- Child or adolescent in my care
- Guardian
- YZS-21232-78905
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-18
Dose 1 — Pfizer-BioNTech
-
2022-01-08
Dose 2 — Pfizer-BioNTech
-
2022-01-19
Registered in v-safe
-
2022-01-19
Health check-in — day 7, dose 2, dependentFeeling: Fair · Site: Redness, Itching · Vomiting, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolAdult check-in
- 2022-01-22
- 2022-01-29
- 2022-02-05
- 2022-02-12
- 2022-02-21
- 2022-04-09
- 2022-07-11
-
2022-08-26
Dose 3 — Pfizer-BioNTech
-
2022-08-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-28
- 2022-08-30
-
2022-09-02
Survey response — day 7, dose 3, dependentMedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Runny nose, congestion, light coughMedDRA releases: 2024-11 · check-in free text available
-
2022-09-11
Survey response — day 14, dose 3, dependentMedDRA: Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: GoodFree text: He had a brief several day period earlier last week where he had post nasal drip and congestion. He was negative for COVID. We believe it was seasonal allergies as we had recently visited a farm/orchard in our area.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
-
2022-09-25
Survey response — day 28, dose 3, dependentMedDRA: Cough, Pyrexia, SARS-CoV-2 test negative — Feeling: FairFree text: Fever of 101 degrees the past 2 days. No fever today. Cough. Tested negative for COVID.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2022-10-07
- 2022-11-25
- 2023-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-18 | Pfizer-BioNTech | No |
| 2 | 2022-01-08 | Pfizer-BioNTech | No |
| 3 | 2022-08-26 | Pfizer-BioNTech | No |
Free text
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): Runny nose, congestion, light cough
Release 12 — day 14, dose 3, dependent
Symptoms: He had a brief several day period earlier last week where he had post nasal drip and congestion. He was negative for COVID. We believe it was seasonal allergies as we had recently visited a farm/orchard in our area.
Release 12 — day 28, dose 3, dependent
Symptoms: Fever of 101 degrees the past 2 days. No fever today. Cough. Tested negative for COVID.
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 | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release