TCV-29540-65858
3 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 920 / CA
- Registered
- 2021-11-17
- Relationship
- Child or adolescent in my care
- Guardian
- LD4-33836-54321
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-12
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Registered in v-safe
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
-
2021-12-03
Dose 2 — Pfizer-BioNTech
- 2021-12-06
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
-
2022-05-25
Dose 3 — Pfizer-BioNTech
-
2022-05-26
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: His armpit (lymph node) is sore on the arm where he received the vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-05-28
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain — Feeling: GoodFree text: Sore arm pit (lymph nodes) on the side where he got the shotMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Lymph node pain — Feeling: GoodFree text: Sore arm pit (lymph node) on side where he got the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
-
2022-06-01
Survey response — day 7, dose 3, dependentMedDRA: Cough — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — day 14, dose 3, dependentMedDRA: Cough, Diarrhoea, Vomiting — Feeling: Poor · Be unable to work or attend schoolFree text: Coughing, throwing up, diahrreaMedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-08-24
- 2022-11-23
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Pfizer-BioNTech | No |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
| 3 | 2022-05-25 | Pfizer-BioNTech | No |
Free text
Release 11 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): His armpit (lymph node) is sore on the arm where he received the vaccine
Systemic reaction (other): Sore arm pit (lymph nodes) on the side where he got the shot
Systemic reaction (other): Sore arm pit (lymph node) on side where he got the shot
Release 11 — day 7, dose 3, dependent
Systemic reaction (other): Cough
Release 11 — day 14, dose 3, dependent
Symptoms: Coughing, throwing up, diahrrea
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 | Diarrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release