P7U-12141-91008
4 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 12-15
- ZIP prefix
- 916 / CA
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- A6J-85430-64220
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-17
Dose 1 — Pfizer-BioNTech
-
2021-06-14
Dose 2 — Pfizer-BioNTech
-
2021-11-06
Registered in v-safe
- 2021-12-13
-
2022-01-08
Dose 3 — Pfizer-BioNTech
- 2022-01-08
-
2022-01-09
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-10
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain — Feeling: GoodFree text: Pain in his lymph node on the same side as his injectionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain — Feeling: GoodFree text: Still pain in his lymph nodes on the same side as his shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
- 2022-01-13
- 2022-01-14
- 2022-01-17
- 2022-01-22
- 2022-01-29
- 2022-02-05
- 2022-02-12
- 2022-02-19
- 2022-04-09
-
2022-07-09
Survey response — 6 months, dose 3, dependentMedDRA: Gastroenteritis viral, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: He came back from a week of scout camp with a very bad stomach bug/wretched cold. He tested negative for Covid four days in a row. It has been over a week and he is still recovering from his symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Dose 4 — Pfizer-BioNTech
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-22
- 2022-12-23
- 2022-12-25
- 2023-01-01
- 2023-01-08
- 2023-01-15
- 2023-01-22
- 2023-01-29
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-17 | Pfizer-BioNTech | No |
| 2 | 2021-06-14 | Pfizer-BioNTech | No |
| 3 | 2022-01-08 | Pfizer-BioNTech | No |
| 4 | 2022-12-18 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Pain in his lymph node on the same side as his injection
Systemic reaction (other): Still pain in his lymph nodes on the same side as his shot.
Release 12 — 6 months, dose 3, dependent
Symptoms: He came back from a week of scout camp with a very bad stomach bug/wretched cold. He tested negative for Covid four days in a row. It has been over a week and he is still recovering from his symptoms.
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release