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PXX-62327-87826

2 vaccinations 5 coded responses 21 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
531 / WI
Registered
2021-11-23
Relationship
Child or adolescent in my care
Guardian
Z4Y-19194-93136
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-23
    Registered in v-safe
  3. 2021-11-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-11-24
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Itching · None
    Adult check-in
  5. 2021-11-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-26
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat, runny nose and cough. Probably a separate viral infection.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-27
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Viral infection — Feeling: Fair · Fever · Be unable to do your normal daily activities
    Free text: Runny nose, cough, sore throat, probably separate viral infection
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-28
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Fever
    Free text: Cough, runny nose, sore throat, probably due to another viral infection.
    Adult check-in · check-in free text available
  9. 2021-11-29
    Survey response — day 7, dose 1, dependent
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Viral infection — Feeling: Fair · Be unable to work or attend school
    Free text: Congestion, sore throat and cough, probably caused by a separate viral infection
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-06
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-12-13
    Dose 2 — Pfizer-BioNTech
  12. 2021-12-15
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Injection site pain, Injection site pruritus — Feeling: Good · Site: Pain
    Free text: Yesterday, Dec 14, (b)(6) experienced mild itching and pain at the injection site, but we forgot to complete the health check in. (b)(6) did not have to change any of his daily activities due to these symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-17
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-18
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-19
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-12-20
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-27
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-03
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-10
    Survey response — day 28, dose 2, dependent
    MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair
    Free text: Minor cold symptoms, sore throat, congestion.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-01-18
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-01-24
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2022-03-15
  23. 2022-06-13
  24. 2022-12-15

Vaccinations

DoseDateManufacturerCo-administered
12021-11-22Pfizer-BioNTech No
22021-12-13Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-26

Systemic reaction (other): Sore throat, runny nose and cough. Probably a separate viral infection.

2021-11-27

Systemic reaction (other): Runny nose, cough, sore throat, probably separate viral infection

Release 10 — day 7, dose 1, dependent

2021-11-29

Systemic reaction (other): Congestion, sore throat and cough, probably caused by a separate viral infection

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-15

Systemic reaction (other): Yesterday, Dec 14, (b)(6) experienced mild itching and pain at the injection site, but we forgot to complete the health check in. (b)(6) did not have to change any of his daily activities due to these symptoms.
redacted (b)(6)

Release 10 — day 28, dose 2, dependent

2022-01-10

Symptoms: Minor cold symptoms, sore throat, congestion.

Release 12 — days 1–6 daily, dose 1, dependent

2021-11-28

Systemic reaction (other): Cough, runny nose, sore throat, probably due to another viral infection.

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
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SROCough · · ✓
SROInjection site pain · · ✓
SROInjection site pruritus · · ✓
SROOropharyngeal pain · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓
SROViral infection · · ✓

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