RDW-79228-46413
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 018 / MA
- Registered
- 2021-11-06
- Relationship
- Child or adolescent in my care
- Guardian
- 3NQ-13632-80280
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-05
Dose 1 — Pfizer-BioNTech
-
2021-11-06
Registered in v-safe
-
2021-11-06
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
-
2021-11-26
Dose 2 — Pfizer-BioNTech
-
2021-11-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-05
- 2021-12-10
- 2021-12-17
-
2021-12-26
Survey response — day 28, dose 2, dependentMedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Last week, developed fever and cold Symptoms. Sore throat, mild fever, sneezing, stuffy nose. Covid test was negative.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-26
Report sent to call center — day 28, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-31
- 2022-01-09
-
2022-02-28
Survey response — 3 months, dose 2, dependentMedDRA: Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: A couple colds, one with a fever, but neither came back as covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
Survey response — 6 months, dose 2, dependentMedDRA: COVID-19, Cough, Pre-existing disease, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Covid positive - cough and congestion. Also allergies with same symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-29
Survey response — 12 months, dose 2, dependentMedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach bug last week into the weekend.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-05 | Pfizer-BioNTech | No |
| 2 | 2021-11-26 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 28, dose 2, dependent
Symptoms: Last week, developed fever and cold Symptoms. Sore throat, mild fever, sneezing, stuffy nose. Covid test was negative.
Release 11 — 3 months, dose 2, dependent
Symptoms: A couple colds, one with a fever, but neither came back as covid.
Release 11 — 6 months, dose 2, dependent
Symptoms: Covid positive - cough and congestion. Also allergies with same symptoms.
Release 12 — 12 months, dose 2, dependent
Symptoms: Stomach bug last week into the weekend.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release