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
-
2021-11-22
Dose 1 — Pfizer-BioNTech
-
2021-11-23
Registered in v-safe
-
2021-11-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Itching · NoneAdult check-in
- 2021-11-25
-
2021-11-26
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat, runny nose and cough. Probably a separate viral infection.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Viral infection — Feeling: Fair · Fever · Be unable to do your normal daily activitiesFree text: Runny nose, cough, sore throat, probably separate viral infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-28
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · FeverFree text: Cough, runny nose, sore throat, probably due to another viral infection.Adult check-in · check-in free text available
-
2021-11-29
Survey response — day 7, dose 1, dependentMedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Viral infection — Feeling: Fair · Be unable to work or attend schoolFree text: Congestion, sore throat and cough, probably caused by a separate viral infectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
-
2021-12-13
Dose 2 — Pfizer-BioNTech
-
2021-12-15
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Injection site pain, Injection site pruritus — Feeling: Good · Site: PainFree 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
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-27
- 2022-01-03
-
2022-01-10
Survey response — day 28, dose 2, dependentMedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Minor cold symptoms, sore throat, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-01-24
- 2022-03-15
- 2022-06-13
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-22 | Pfizer-BioNTech | No |
| 2 | 2021-12-13 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Sore throat, runny nose and cough. Probably a separate viral infection.
Systemic reaction (other): Runny nose, cough, sore throat, probably separate viral infection
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Congestion, sore throat and cough, probably caused by a separate viral infection
Release 10 — days 1–6 daily, dose 2, dependent
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
Symptoms: Minor cold symptoms, sore throat, congestion.
Release 12 — days 1–6 daily, dose 1, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release