UTE-13736-37203
2 vaccinations
1 coded response
18 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 481 / MI
- Registered
- 2021-12-31
- Relationship
- Child or adolescent in my care
- Guardian
- H3L-20453-02396
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-30
Dose 1 — Pfizer-BioNTech
-
2021-12-31
Registered in v-safe
-
2021-12-31
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-01-01
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · HeadacheAdult check-in
- 2022-01-02
- 2022-01-04
- 2022-01-05
- 2022-01-15
-
2022-01-20
Dose 2 — Pfizer-BioNTech
- 2022-01-20
-
2022-01-21
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-01-22
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-01-23
- 2022-01-24
- 2022-01-27
- 2022-02-05
- 2022-02-17
- 2022-02-24
-
2022-03-05
Survey response — day 42, dose 2, dependentMedDRA: COVID-19, Cough, Nausea, Oxygen saturation decreased, Pyrexia, Rhinorrhoea, Self-medication, Vomiting, Wheezing — 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 · Outpatient clinic or urgent care clinic visitFree text: COVID. The night before diagnosis, had croup-like coughing/wheezing, N/V, was febrile to 102.6 (treated with ibuprofen), SpO2 decreased as low as 94, sleeping respiratory rate was 25-30, and sleeping heart rate was 120-130s. Now has cough/runny nose.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — day 42, 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-08
- 2022-04-23
- 2022-07-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-30 | Pfizer-BioNTech | No |
| 2 | 2022-01-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — day 42, dose 2, dependent
Symptoms: COVID. The night before diagnosis, had croup-like coughing/wheezing, N/V, was febrile to 102.6 (treated with ibuprofen), SpO2 decreased as low as 94, sleeping respiratory rate was 25-30, and sleeping heart rate was 120-130s. Now has cough/runny nose. cut off by CDC
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release