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RNL-31685-13090

1 vaccination 2 coded responses 4 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
543 / WI
Registered
2022-01-08
Relationship
Child or adolescent in my care
Guardian
M5U-30041-63112
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2022-01-08
    Registered in v-safe
  2. 2022-01-08
    Dose 1 — Pfizer-BioNTech
  3. 2022-01-08
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-01-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-01-18
    Survey response — day 7, dose 1, dependent
    MedDRA: Cough — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend school
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-22
    Survey response — day 14, dose 1, dependent
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school
    Free text: COVID
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-01-08Pfizer-BioNTech No

Free text

Release 10 — day 7, dose 1, dependent

2022-01-18

Systemic reaction (other): Cough

Release 11 — day 14, dose 1, dependent

2022-01-22

Symptoms: COVID

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
SDCOVID-19 · · ✓
SROCough · · ✓

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