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
-
2021-12-01
Dose 1 — Pfizer-BioNTech
-
2021-12-05
Registered in v-safe
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
-
2021-12-15
Survey response — day 14, dose 1, dependentMedDRA: Malaise — Feeling: Fair · Be unable to work or attend schoolFree text: Sick with some sort of virus. Not sure what it is.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — day 21, dose 1, dependentMedDRA: Bronchitis, Malaise, Viral infection — Feeling: Good · Be unable to work or attend schoolFree text: Sick for 2 weeks with unknown virus turned into bronchitisMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Dose 2 — Pfizer-BioNTech
- 2021-12-29
-
2021-12-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-12-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-01-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-01-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2022-01-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
-
2022-01-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness · NoneAdult check-in
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-02-09
- 2022-03-30
- 2022-06-29
-
2022-08-24
Dose 3 — Pfizer-BioNTech
- 2022-11-23
- 2023-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-01 | Pfizer-BioNTech | No |
| 2 | 2021-12-29 | Pfizer-BioNTech | No |
| 3 | 2022-08-24 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 1, dependent
Symptoms: Sick with some sort of virus. Not sure what it is.
Release 10 — day 21, dose 1, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bronchitis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release