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PEB-96873-28861

3 vaccinations 5 coded responses 31 check-ins 4 free-text entries 0 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
980 / WA
Registered
2022-06-27
Relationship
Child or adolescent in my care
Guardian
Z7S-30932-95468
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-23
    Dose 1 — Pfizer-BioNTech
  2. 2022-06-27
    Registered in v-safe
  3. 2022-06-27
    Survey response — days 1–6 daily, dose 1, under 3
    MedDRA: Insomnia — Feeling: Fair · Sleepiness
    Free text: The heat means he didn't sleep well.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2022-06-28
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  5. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Sleepiness
    Under 3 check-in
  6. 2022-06-30
    Survey response — day 7, dose 1, under 3
    MedDRA: Dependent personality disorder — Feeling: Good
    Free text: Clingy
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-07-07
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  8. 2022-07-14
    Health check-in — day 21, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  9. 2022-07-15
    Dose 2 — Other-Unknown
  10. 2022-07-15
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-07-16
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  12. 2022-07-17
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  13. 2022-07-18
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  14. 2022-07-19
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · Irritability/crying
    Under 3 check-in
  15. 2022-07-20
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-07-22
    Health check-in — day 7, dose 2, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  17. 2022-07-30
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  18. 2022-08-06
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  19. 2022-08-12
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  20. 2022-08-19
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  21. 2022-08-26
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2022-09-09
    Dose 3 — Pfizer-BioNTech
  23. 2022-09-10
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · Site: Pain · Irritability/crying
    Under 3 check-in
  24. 2022-09-11
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  25. 2022-09-12
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  26. 2022-09-13
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  27. 2022-09-14
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  28. 2022-09-16
    Health check-in — day 7, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2022-09-23
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  30. 2022-09-30
    Health check-in — day 21, dose 3, under 3
    Feeling: Fair
    Under 3 check-in
  31. 2022-10-07
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  32. 2022-10-14
    Health check-in — day 35, dose 3, under 3
    Feeling: Fair
    Under 3 check-in
  33. 2022-10-22
    Survey response — day 42, dose 3, under 3
    MedDRA: Pyrexia, Rhinorrhoea — Feeling: Poor
    Free text: Runny nose and low fever
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-12-09
    Survey response — 3 months, dose 3, under 3
    MedDRA: Pyrexia, Rhinorrhoea — Feeling: Good
    Free text: A few days of slight fever and snuffles
    MedDRA releases: 2024-11 · check-in free text available
  35. 2023-03-10
    Survey response — 6 months, dose 3, under 3
    MedDRA: COVID-19, Respiratory syncytial virus infection — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-06-23Pfizer-BioNTech No
22022-07-15Other-Unknown No
32022-09-09Pfizer-BioNTech No

Free text

Release 12 (Under 3) — days 1–6 daily, dose 1, under 3

2022-06-27

Systemic reaction (other): The heat means he didn't sleep well.

Release 12 (Under 3) — day 7, dose 1, under 3

2022-06-30

Systemic reaction (other): Clingy

Release 12 (Under 3) — day 42, dose 3, under 3

2022-10-22

Symptoms: Runny nose and low fever

Release 12 (Under 3) — 3 months, dose 3, under 3

2022-12-09

Symptoms: A few days of slight fever and snuffles

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDPyrexia · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRhinorrhoea · · ✓
SRODependent personality disorder · · ✓
SROInsomnia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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