KXA-39816-86088
3 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 981 / WA
- Registered
- 2021-11-28
- Relationship
- Child or adolescent in my care
- Guardian
- BZQ-20015-30586
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-23
Dose 1 — Pfizer-BioNTech
-
2021-11-28
Registered in v-safe
-
2021-11-28
Health check-in — days 1–6 daily, dose 1, dependentFeeling: GoodFree text: Night sweats and red cheeksAdult check-in · check-in free text available
-
2021-11-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-30
- 2021-12-07
-
2021-12-14
Dose 2 — Pfizer-BioNTech
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-11
-
2022-01-18
Survey response — day 35, dose 2, dependentMedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Feeling hot — Feeling: Fair · Be unable to work or attend schoolFree text: Mild cough, very tired and warm feeling body, but no fever. Was told he was in close contact with a classmate who tested positive for Covid this past Thursday.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-25
- 2022-03-15
- 2022-06-14
-
2022-08-12
Dose 3 — Pfizer-BioNTech
- 2022-08-13
- 2022-08-14
-
2022-08-15
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-09-09
- 2022-09-16
-
2022-09-23
Survey response — day 42, dose 3, dependentMedDRA: Cough, Pyrexia, Rhinorrhoea, Wheezing — Feeling: Good · Be unable to work or attend schoolFree text: Runny nose, low grade fever, wheezing, and a hacking cough he's had since last Sunday night.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
-
2023-02-10
Survey response — 6 months, dose 3, dependentMedDRA: Cough, Influenza, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-23 | Pfizer-BioNTech | No |
| 2 | 2021-12-14 | Pfizer-BioNTech | No |
| 3 | 2022-08-12 | Pfizer-BioNTech | No |
Free text
Release 10 — day 35, dose 2, dependent
Symptoms: Mild cough, very tired and warm feeling body, but no fever. Was told he was in close contact with a classmate who tested positive for Covid this past Thursday.
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Night sweats and red cheeks
Release 12 — day 42, dose 3, dependent
Symptoms: Runny nose, low grade fever, wheezing, and a hacking cough he's had since last Sunday night.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release