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LRK-16251-91464

4 vaccinations 1 coded response 21 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
105 / NY
Registered
2022-01-21
Relationship
Child or adolescent in my care
Guardian
423-21791-90631
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-10
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-21
    Registered in v-safe
  4. 2022-01-21
    Dose 3 — Pfizer-BioNTech
  5. 2022-01-21
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-01-22
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  7. 2022-01-23
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  8. 2022-01-24
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  9. 2022-01-25
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-01-26
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-01-28
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-02-05
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-02-11
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-02-18
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2022-02-25
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  16. 2022-03-08
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  17. 2022-04-22
  18. 2022-07-22
  19. 2022-11-10
    Dose 4 — Pfizer-BioNTech
  20. 2022-11-27
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  21. 2022-12-01
    Survey response — day 21, dose 4, dependent
    MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    Free text: Came down with cold and congestion
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-12-09
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  23. 2022-12-15
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  24. 2022-12-22
    Health check-in — day 42, dose 4, dependent
    Feeling: Good
    Adult check-in
  25. 2023-02-09
  26. 2023-05-11

Vaccinations

DoseDateManufacturerCo-administered
12021-05-20Pfizer-BioNTech No
22021-06-10Pfizer-BioNTech No
32022-01-21Pfizer-BioNTech No
42022-11-10Pfizer-BioNTech No

Free text

Release 12 — day 21, dose 4, dependent

2022-12-01

Symptoms: Came down with cold and congestion

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
SDNasopharyngitis · · ✓
SDRespiratory tract congestion · · ✓

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

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