P73-65583-64503
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 465 / IN
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- 6G6-13414-76137
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-17
Dose 1 — Pfizer-BioNTech
-
2022-06-23
Registered in v-safe
-
2022-06-23
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Flatulence — Feeling: Good · Abdominal painFree text: Gastrointestinal gasMedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
-
2022-07-03
Survey response — day 14, dose 1, dependentMedDRA: Gastrointestinal disorder, Rash — Feeling: FairFree text: Rash on his face, neck and chest. Some stomach gastro issues.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-10
-
2022-07-11
Dose 2 — Pfizer-BioNTech
-
2022-07-15
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Rash, Vaccine positive rechallenge — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on face that he also had after 1st shot and they had gone away but they are back again.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-16
- 2022-07-19
- 2022-07-27
- 2022-08-01
-
2022-08-08
Survey response — day 28, dose 2, dependentMedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: Lots of sneezing and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-08-15
- 2022-08-22
- 2022-10-10
- 2023-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-17 | Pfizer-BioNTech | No |
| 2 | 2022-07-11 | Pfizer-BioNTech | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Gastrointestinal gas
Release 12 — day 14, dose 1, dependent
Symptoms: Rash on his face, neck and chest. Some stomach gastro issues.
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Rash on face that he also had after 1st shot and they had gone away but they are back again.
Release 12 — day 28, dose 2, dependent
Symptoms: Lots of sneezing and runny 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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release