NUU-15386-76575
2 vaccinations
1 coded response
5 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 074 / NJ
- Registered
- 2021-11-17
- Relationship
- Child or adolescent in my care
- Guardian
- RJB-13627-80746
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-06
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Registered in v-safe
- 2021-11-17
-
2021-11-27
Dose 2 — Pfizer-BioNTech
-
2022-01-06
Survey response — day 35, dose 2, dependentMedDRA: Chest discomfort, Fatigue, Headache, Vomiting — Feeling: GoodFree text: Vomit, chest tightness, headache, tiredMedDRA releases: 2024-11 · check-in free text available
- 2022-01-08
- 2022-05-28
- 2022-11-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-06 | Pfizer-BioNTech | No |
| 2 | 2021-11-27 | Pfizer-BioNTech | No |
Free text
Release 10 — day 35, dose 2, dependent
Symptoms: Vomit, chest tightness, headache, tired
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 | Chest discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release