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MBN-87301-65190

4 vaccinations 1 coded response 13 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
922 / CA
Registered
2021-12-12
Relationship
Child or adolescent in my care
Guardian
ZRG-77004-90476
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-10
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-12
    Registered in v-safe
  4. 2021-12-12
  5. 2022-01-06
    Dose 3 — Pfizer-BioNTech
  6. 2022-01-06
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-01-07
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Ocular discomfort — Feeling: Fair · Site: Pain · Chills · Be unable to work or attend school
    Free text: Mild pressure behind my eyes
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-09
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-01-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-01-15
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-01-20
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-30
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-02-03
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-02-19
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  15. 2022-04-09
  16. 2022-07-09
  17. 2022-10-18
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  18. 2023-01-19

Vaccinations

DoseDateManufacturerCo-administered
12021-05-20Pfizer-BioNTech No
22021-06-10Pfizer-BioNTech No
32022-01-06Pfizer-BioNTech No
42022-10-18Pfizer-BioNTech Flu

Free text

Release 10 — days 1–6 daily, dose 3, dependent

2022-01-07

Systemic reaction (other): Mild pressure behind my eyes

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
SROOcular discomfort · · ✓

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

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