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SHB-31935-84238

2 vaccinations 1 coded response 2 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
05-11
ZIP prefix
240 / VA
Registered
2022-04-30
Relationship
Child or adolescent in my care
Guardian
4XV-23512-49773
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-03
    Dose 2 — Pfizer-BioNTech
  3. 2022-04-30
    Registered in v-safe
  4. 2022-06-05
    Survey response — 6 months, dose 2, dependent
    MedDRA: Autoimmune thyroiditis, Office visit, Systemic lupus erythematosus — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Mild lupus and hasimotos · Healthcare visit (other): Dr office
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-06-05
    Report sent to call center — 6 months, dose 2, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2022-06-06
  7. 2022-12-05

Vaccinations

DoseDateManufacturerCo-administered
12021-11-12Pfizer-BioNTech No
22021-12-03Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — 6 months, dose 2, dependent

2022-06-05

Symptoms: Mild lupus and hasimotos
Healthcare visit (other): Dr office

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
HCVOOffice visit · · ✓
SDAutoimmune thyroiditis · · ✓
SDSystemic lupus erythematosus · · ✓

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