MKQ-32443-90205
3 vaccinations
3 coded responses
38 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 223 / VA
- Registered
- 2021-11-07
- Relationship
- Child or adolescent in my care
- Guardian
- Y66-39385-87819
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-07
Registered in v-safe
-
2021-11-07
Dose 1 — Pfizer-BioNTech
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-21
- 2021-11-28
-
2021-12-01
Dose 2 — Pfizer-BioNTech
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
-
2022-06-01
Survey response — 6 months, dose 2, dependentMedDRA: COVID-19, Cough, Headache — Feeling: Good · Be unable to work or attend schoolFree text: Minor cough, brief headache starting two days before being diagnosed with covid 4/28/22MedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Dose 3 — Pfizer-BioNTech
- 2022-10-22
-
2022-10-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
-
2022-11-26
Survey response — day 35, dose 3, dependentMedDRA: Cough, Headache, Lethargy, Malaise, Oropharyngeal pain, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Currently on day 3 of illness. Headache and vomiting (day 0), lethargy days 1-2, sore throat and cough (day 3), covid negative on PCR (day before symptoms started) and rapid (day 3)MedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
-
2023-01-21
Survey response — 3 months, dose 3, dependentMedDRA: Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-07 | Pfizer-BioNTech | No |
| 2 | 2021-12-01 | Pfizer-BioNTech | No |
| 3 | 2022-10-22 | Pfizer-BioNTech | No |
Free text
Release 11 — 6 months, dose 2, dependent
Symptoms: Minor cough, brief headache starting two days before being diagnosed with covid 4/28/22
Release 12 — day 35, dose 3, dependent
Symptoms: Currently on day 3 of illness. Headache and vomiting (day 0), lethargy days 1-2, sore throat and cough (day 3), covid negative on PCR (day before symptoms started) and rapid (day 3)
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 | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release