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UL7-33219-43591

2 vaccinations 2 coded responses 19 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
05-11
ZIP prefix
115 / NY
Registered
2021-11-14
Relationship
Child or adolescent in my care
Guardian
L5H-23374-44425
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-10
    Dose 1 — Pfizer-BioNTech
    Co-administered: Flu
  2. 2021-11-14
    Registered in v-safe
  3. 2021-11-14
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Injection site bruising — Feeling: Good · Site: Redness
    Free text: bruise at site
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-11-16
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-11-17
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-24
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  7. 2021-12-01
    Dose 2 — Pfizer-BioNTech
  8. 2021-12-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-12-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-12-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  11. 2021-12-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-12-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-12-07
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-08
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-15
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-12-22
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-12-29
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-05
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-01-14
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-03-04
  21. 2022-06-01
    Survey response — 6 months, dose 2, dependent
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: covid infection
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-12-04

Vaccinations

DoseDateManufacturerCo-administered
12021-11-10Pfizer-BioNTech Flu
22021-12-01Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-14

Systemic reaction (other): bruise at site

Release 11 — 6 months, dose 2, dependent

2022-06-01

Symptoms: covid infection

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
SDCOVID-19 · · ✓
SROInjection site bruising · · ✓

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

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