TC8-29010-70154
4 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 917 / CA
- Registered
- 2021-11-17
- Relationship
- Child or adolescent in my care
- Guardian
- 3EN-21768-32357
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-11-09
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Registered in v-safe
- 2021-11-17
- 2021-11-23
-
2021-11-30
Dose 2 — Pfizer-BioNTech
-
2021-12-01
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolFree text: Swollen axillary lymph nodes in the arm that received the injection.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen axillary lymph nodes in arm that received the injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-05
- 2021-12-08
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-03-02
- 2022-06-02
-
2022-07-11
Dose 3 — Pfizer-BioNTech
-
2022-11-27
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-30
- 2022-11-30
- 2022-12-01
- 2022-12-02
- 2022-12-04
-
2022-12-11
Survey response — day 14, dose 4, dependentMedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Survey response — day 21, dose 4, dependentMedDRA: Ear pain, Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Ear pain in addition to the previously mentioned COVID symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-12-25
- 2023-01-01
- 2023-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-09 | Pfizer-BioNTech | No |
| 2 | 2021-11-30 | Pfizer-BioNTech | No |
| 3 | 2022-07-11 | Pfizer-BioNTech | No |
| 4 | 2022-11-27 | Pfizer-BioNTech | Flu |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Swollen axillary lymph nodes in the arm that received the injection.
Systemic reaction (other): Swollen axillary lymph nodes in arm that received the injection
Release 12 — day 14, dose 4, dependent
Symptoms: COVID
Release 12 — day 21, dose 4, dependent
Symptoms: Ear pain in addition to the previously mentioned COVID symptoms
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 | COVID-19 | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release