NWV-12776-78683
3 vaccinations
6 coded responses
29 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 217 / MD
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- VZ5-29282-10329
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-29
Dose 1 — Pfizer-BioNTech
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Redness · SleepinessUnder 3 check-in
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
-
2022-07-13
Survey response — day 14, dose 1, under 3MedDRA: Nasal congestion, Sneezing — Feeling: GoodFree text: Has had a stuffy nose and sneezingMedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Dose 2 — Pfizer-BioNTech
-
2022-07-21
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness · Loss of appetiteUnder 3 check-in
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-08-03
-
2022-08-10
Survey response — day 21, dose 2, under 3MedDRA: Decreased appetite, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Two days of fever, fatigue and reduced appetite (8/5 and 8/6)MedDRA releases: 2024-11 · check-in free text available
- 2022-08-17
- 2022-08-24
- 2022-08-31
- 2022-10-19
-
2023-01-18
Survey response — 6 months, dose 2, under 3MedDRA: Diarrhoea — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-03-16
Dose 3 — Moderna
-
2023-03-22
Survey response — days 1–6 daily, dose 3, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: FairMedDRA releases: 2024-11
-
2023-03-23
Survey response — day 7, dose 3, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · SleepinessMedDRA releases: 2024-11
- 2023-03-30
- 2023-04-06
- 2023-04-13
- 2023-04-20
-
2023-04-27
Survey response — day 42, dose 3, under 3MedDRA: Cough, Nasal congestion, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
- 2023-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Pfizer-BioNTech | No |
| 2 | 2022-07-20 | Pfizer-BioNTech | No |
| 3 | 2023-03-16 | Moderna | No |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Has had a stuffy nose and sneezing
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Two days of fever, fatigue and reduced appetite (8/5 and 8/6)
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 | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release