N4Y-20311-97775
3 vaccinations
2 coded responses
8 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- SL9-32470-22363
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-27
Dose 2 — Pfizer-BioNTech
-
2022-06-10
Dose 3 — Pfizer-BioNTech
-
2022-06-28
Registered in v-safe
- 2022-06-28
- 2022-07-01
- 2022-07-09
- 2022-07-17
-
2022-07-22
Survey response — day 42, dose 3, dependentMedDRA: Cough, Nasal congestion, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sneezing, stuffy nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
-
2022-12-09
Survey response — 6 months, dose 3, dependentMedDRA: Cough, Nasal congestion — Feeling: FairFree text: Cough, stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2023-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
| 3 | 2022-06-10 | Pfizer-BioNTech | No |
Free text
Release 12 — day 42, dose 3, dependent
Symptoms: Sneezing, stuffy nose, cough
Release 12 — 6 months, dose 3, dependent
Symptoms: Cough, stuffy nose
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 | Nasal congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release