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UMM-12153-34363

2 vaccinations 2 coded responses 18 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
05-11
ZIP prefix
447 / OH
Registered
2021-11-18
Relationship
Child or adolescent in my care
Guardian
AJU-17229-99703
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-18
    Registered in v-safe
  2. 2021-11-18
    Dose 1 — Pfizer-BioNTech
    Co-administered: Flu
  3. 2021-11-18
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Muscle or body aches, Abdominal pain
    Adult check-in
  4. 2021-11-20
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-11-21
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-11-22
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-11-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-11-25
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-12-03
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-10
    Dose 2 — Pfizer-BioNTech
  11. 2021-12-10
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  12. 2021-12-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  13. 2021-12-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-12-20
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-12-24
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2022-01-02
    Survey response — day 21, dose 2, dependent
    MedDRA: Cough, Headache, Secretion discharge — Feeling: Fair
    Free text: Cough headache mucus
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-16
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-21
    Survey response — day 42, dose 2, dependent
    MedDRA: Office visit, Pyrexia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Fever · Healthcare visit (other): Pediatrician visit
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-01-21
    Report sent to call center — day 42, dose 2, dependent
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2022-01-26
  21. 2022-01-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  22. 2022-03-13
  23. 2022-06-10
  24. 2022-12-12

Vaccinations

DoseDateManufacturerCo-administered
12021-11-18Pfizer-BioNTech Flu
22021-12-10Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — day 21, dose 2, dependent

2022-01-02

Symptoms: Cough headache mucus

Release 11 — day 42, dose 2, dependent

2022-01-21

Symptoms: Fever
Healthcare visit (other): Pediatrician visit

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
HCVOOffice visit · · ✓
SDCough · · ✓
SDHeadache · · ✓
SDPyrexia · · ✓
SDSecretion discharge · · ✓

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