UPH-31841-00154
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 300 / GA
- Registered
- 2021-12-21
- Relationship
- Child or adolescent in my care
- Guardian
- 84T-21168-47763
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-12-14
Dose 1 — Pfizer-BioNTech
-
2021-12-21
Registered in v-safe
-
2021-12-21
Survey response — day 7, dose 1, dependentMedDRA: Pre-existing disease, Respiratory tract congestion — Feeling: GoodFree text: Slight congestion but James has cystic fibrosis so this happens for all sorts of reasonsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
- 2022-01-04
-
2022-01-05
Dose 2 — Pfizer-BioNTech
- 2022-01-05
- 2022-01-06
- 2022-01-07
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-12
- 2022-01-19
-
2022-01-26
Survey response — day 21, dose 2, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
-
2022-02-09
Survey response — day 35, dose 2, dependentMedDRA: Conjunctivitis, Ear infection, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion, ear infection, pink eye.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Report sent to call center — day 35, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-14
- 2022-02-16
- 2022-03-03
- 2022-04-06
- 2022-07-07
- 2023-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-14 | Pfizer-BioNTech | No |
| 2 | 2022-01-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): Slight congestion but James has cystic fibrosis so this happens for all sorts of reasons
Release 11 — day 21, dose 2, dependent
Symptoms: Congestion, cough
Release 11 — day 35, dose 2, dependent
Symptoms: Congestion, ear infection, pink eye.
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 | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release