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PVA-14286-16313

3 vaccinations 2 coded responses 23 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
535 / WI
Registered
2021-12-05
Relationship
Child or adolescent in my care
Guardian
U45-16785-47986
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-05
    Registered in v-safe
  3. 2021-12-05
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-12-06
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-12-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-12-08
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-15
    Survey response — day 14, dose 1, dependent
    MedDRA: Malaise — Feeling: Fair · Be unable to work or attend school
    Free text: Sick with some sort of virus. Not sure what it is.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-22
    Survey response — day 21, dose 1, dependent
    MedDRA: Bronchitis, Malaise, Viral infection — Feeling: Good · Be unable to work or attend school
    Free text: Sick for 2 weeks with unknown virus turned into bronchitis
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-29
    Dose 2 — Pfizer-BioNTech
  10. 2021-12-29
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-12-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  12. 2021-12-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  13. 2022-01-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  14. 2022-01-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  15. 2022-01-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  16. 2022-01-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  17. 2022-01-05
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-01-12
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-19
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-01-26
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-02-02
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-02-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-03-30
  24. 2022-06-29
  25. 2022-08-24
    Dose 3 — Pfizer-BioNTech
  26. 2022-11-23
  27. 2023-02-22

Vaccinations

DoseDateManufacturerCo-administered
12021-12-01Pfizer-BioNTech No
22021-12-29Pfizer-BioNTech No
32022-08-24Pfizer-BioNTech No

Free text

Release 10 — day 14, dose 1, dependent

2021-12-15

Symptoms: Sick with some sort of virus. Not sure what it is.

Release 10 — day 21, dose 1, dependent

2021-12-22

Symptoms: Sick for 2 weeks with unknown virus turned into bronchitis

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
SDBronchitis · · ✓
SDMalaise · · ✓
SDViral infection · · ✓

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