U6V-27887-17134
3 vaccinations
2 coded responses
31 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 532 / WI
- Registered
- 2021-11-24
- Relationship
- Child or adolescent in my care
- Guardian
- Z6Y-29532-65578
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-24
Registered in v-safe
-
2021-11-24
Dose 1 — Pfizer-BioNTech
- 2021-11-24
-
2021-11-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-08
-
2021-12-11
Dose 2 — Pfizer-BioNTech
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
-
2021-12-16
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
- 2022-03-12
-
2022-06-12
Survey response — 6 months, dose 2, dependentMedDRA: SARS-CoV-2 test negative — Feeling: GoodFree text: Possible seasonal allergies. Or cold. Covid tests have been negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-27
Dose 3 — Pfizer-BioNTech
- 2022-07-06
- 2022-07-11
- 2022-07-18
- 2022-07-25
- 2022-08-01
- 2022-08-08
- 2022-09-26
- 2022-12-26
-
2023-06-27
Survey response — 12 months, dose 3, dependentMedDRA: Behaviour disorder, Defiant behaviour, Disturbance in attention — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-24 | Pfizer-BioNTech | No |
| 2 | 2021-12-11 | Pfizer-BioNTech | No |
| 3 | 2022-06-27 | Pfizer-BioNTech | No |
Free text
Release 12 — 6 months, dose 2, dependent
Symptoms: Possible seasonal allergies. Or cold. Covid tests have been negative.
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 | Behaviour disorder | · | · | ✓ |
| SD | Defiant behaviour | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release