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KVS-29879-13501

2 vaccinations 2 coded responses 19 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
921 / CA
Registered
2021-11-07
Relationship
Child or adolescent in my care
Guardian
CYR-41533-53538
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-07
    Registered in v-safe
  2. 2021-11-07
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-07
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-11-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-14
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-21
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-11-28
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-11-30
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-07
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-14
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-12-21
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-12-28
    Survey response — day 28, dose 2, dependent
    MedDRA: Abdominal pain, Fatigue, Nausea — Feeling: Good
    Free text: Abdominal pain, fatigue, nausea
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-04
    Survey response — day 35, dose 2, dependent
    MedDRA: Abdominal pain upper — Feeling: Good
    Free text: Stomach ache over Christmas which resolved
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-01-11
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-03-01
  21. 2022-06-02
  22. 2022-11-30

Vaccinations

DoseDateManufacturerCo-administered
12021-11-07Pfizer-BioNTech No
22021-11-30Pfizer-BioNTech No

Free text

Release 10 — day 28, dose 2, dependent

2021-12-28

Symptoms: Abdominal pain, fatigue, nausea

Release 10 — day 35, dose 2, dependent

2022-01-04

Symptoms: Stomach ache over Christmas which resolved

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
SDAbdominal pain · · ✓
SDAbdominal pain upper · · ✓
SDFatigue · · ✓
SDNausea · · ✓

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

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