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QJH-51277-01714

3 vaccinations 3 coded responses 34 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
618 / IL
Registered
2021-11-06
Relationship
Child or adolescent in my care
Guardian
ZVG-15006-98580
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-06
    Registered in v-safe
  2. 2021-11-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-11-06
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-11-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-10
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-11-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-11-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-11-20
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-11-28
    Survey response — day 21, dose 1, dependent
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-04
    Dose 2 — Pfizer-BioNTech
  14. 2021-12-04
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-12-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-12-08
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2021-12-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2021-12-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  21. 2021-12-11
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  22. 2021-12-18
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2021-12-27
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-01-01
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-01-09
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-01-15
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-03-05
    Survey response — 3 months, dose 2, dependent
    MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good
    Free text: Had a runny nose and chest cough for 3-4 days. No fever. At home Covid test was negative. No apparent residual problems.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-27
    Dose 3 — Pfizer-BioNTech
  29. 2022-05-31
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  30. 2022-06-01
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  31. 2022-06-02
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  32. 2022-06-03
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  33. 2022-06-11
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  34. 2022-06-17
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  35. 2022-06-24
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2022-07-01
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  37. 2022-07-10
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  38. 2022-11-25
    Survey response — 6 months, dose 3, dependent
    MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Fair
    Free text: Congestion, mild fever, cough
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-11-06Pfizer-BioNTech No
22021-12-04Pfizer-BioNTech No
32022-05-27Pfizer-BioNTech No

Free text

Release 10 — day 21, dose 1, dependent

2021-11-28

Symptoms: Runny nose

Release 11 — 3 months, dose 2, dependent

2022-03-05

Symptoms: Had a runny nose and chest cough for 3-4 days. No fever. At home Covid test was negative. No apparent residual problems.

Release 12 — 6 months, dose 3, dependent

2022-11-25

Symptoms: Congestion, mild fever, cough

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
SDCough · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓

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

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