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UGS-18055-10395

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
232 / VA
Registered
2022-06-29
Relationship
Child or adolescent in my care
Guardian
DLW-53466-14354
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-28
    Dose 1 — Pfizer-BioNTech
  2. 2022-06-29
    Registered in v-safe
  3. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-05
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-12
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-19
    Dose 2 — Pfizer-BioNTech
  11. 2022-07-19
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2022-07-20
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-07-21
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Fever
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-07-23
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-07-25
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-07-26
    Survey response — day 7, dose 2, dependent
    MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good
    Free text: Runny stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-08-03
    Survey response — day 14, dose 2, dependent
    MedDRA: Fatigue, Nasal congestion, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Low grade fever, runny stuffy nose, and fatigue
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-08-09
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-08-18
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-08-23
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-10-18
    Survey response — 3 months, dose 2, dependent
    MedDRA: Cough, Lower respiratory tract infection, Nasal congestion, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend school
    Free text: Head and chest cold. Runny stuffy nose, coughing, and fever 99.7 to 100.7
    MedDRA releases: 2024-11 · check-in free text available
  22. 2023-01-17

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Pfizer-BioNTech No
22022-07-19Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 2, dependent

2022-07-20

Systemic reaction (other): Sore throat

2022-07-21

Systemic reaction (other): Stuffy nose

2022-07-25

Systemic reaction (other): Sore throat

Release 12 — day 7, dose 2, dependent

2022-07-26

Systemic reaction (other): Runny stuffy nose

Release 12 — day 14, dose 2, dependent

2022-08-03

Symptoms: Low grade fever, runny stuffy nose, and fatigue

Release 12 — 3 months, dose 2, dependent

2022-10-18

Symptoms: Head and chest cold. Runny stuffy nose, coughing, and fever 99.7 to 100.7

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
SDCough · · ✓
SDFatigue · · ✓
SDLower respiratory tract infection · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SRONasal congestion · · ✓
SROOropharyngeal pain · · ✓
SRORhinorrhoea · · ✓

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