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UTA-28456-16855

2 vaccinations 2 coded responses 25 check-ins 2 free-text entries 2 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
030 / NH
Registered
2021-08-07
Relationship
Child or adolescent in my care
Guardian
L7N-33612-38482
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-08-07
    Registered in v-safe
  3. 2021-08-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-08-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-08-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-08-10
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-08-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-08-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-08-13
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-08-20
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-08-27
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-09-03
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  13. 2021-09-08
    Dose 2 — Pfizer-BioNTech
  14. 2021-09-09
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-09-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Headache
    Adult check-in
  16. 2021-09-11
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-09-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-09-13
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  19. 2021-09-13
    Report sent to call center — days 1–6 daily, dose 2, dependent
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-09-14
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  21. 2021-09-15
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  22. 2021-09-15
  23. 2021-09-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  24. 2021-09-22
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2021-09-29
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2021-10-06
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2021-10-13
    Health check-in — day 35, dose 2, dependent
    Feeling: Fair
    Adult check-in
  28. 2021-10-20
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  29. 2021-12-08
  30. 2022-03-09
    Survey response — 6 months, dose 2, dependent
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Covid on 1/6/22
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-03-09
    Report sent to call center — 6 months, dose 2, dependent
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2022-03-10
  33. 2022-09-08
    Survey response — 12 months, dose 2, dependent
    MedDRA: Arthralgia — Feeling: Good
    Free text: Joint pain
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-06Pfizer-BioNTech No
22021-09-08Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 11 — 6 months, dose 2, dependent

2022-03-09

Symptoms: Covid on 1/6/22

Release 12 — 12 months, dose 2, dependent

2022-09-08

Symptoms: Joint pain

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
SDArthralgia · · ✓
SDCOVID-19 · · ✓

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

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